Heidi Y Lee, MD | |
249 Dakota St, Sutherlin, OR 97479-9908 | |
(541) 677-7200 | |
(541) 229-3309 |
Full Name | Heidi Y Lee |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 249 Dakota St, Sutherlin, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568849610 | NPI | - | NPPES |
500822418 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 31728 (Oklahoma) | Secondary |
207Q00000X | Family Medicine | MD-20783 (Hawaii) | Secondary |
207Q00000X | Family Medicine | MD216375 (Oregon) | Primary |
Entity Name | St John Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867 |
Mailing Address | Practice Location Address |
---|---|
Heidi Y Lee, MD 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 Ph: (541) 677-7200 | Heidi Y Lee, MD 249 Dakota St, Sutherlin, OR 97479-9908 Ph: (541) 677-7200 |
Kody Seeley, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Ponderosa Dr, Sutherlin, OR 97479 Phone: 541-459-3788 | |
Martin Steele, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 249 Dakota St, Sutherlin, OR 97479 Phone: 541-677-7200 Fax: 541-229-3309 | |
Dustin Meyers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 249 Dakota St, Sutherlin, OR 97479 Phone: 541-677-7200 Fax: 541-229-3309 | |
Faiza Salman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 123 Ponderosa Dr, Suite 102, Sutherlin, OR 97479 Phone: 541-459-3500 Fax: 541-459-3589 | |
Fred Luke Herscher, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 781 W Central Ave, Sutherlin, OR 97479 Phone: 541-459-0303 Fax: 541-459-1657 | |
Natalie Moffett, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 249 Dakota St, Sutherlin, OR 97479 Phone: 541-677-7200 Fax: 541-229-3309 |