Lance Gregory Loberg, MD | |
9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | |
(503) 879-2002 | |
Not Available |
Full Name | Lance Gregory Loberg |
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Gender | Male |
Speciality | Family Practice |
Experience | 45 Years |
Location | 9605 Grand Ronde Rd, Grand Ronde, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932180734 | NPI | - | NPPES |
023015 | Medicaid | OR | |
267195 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD13309 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Healthy Living At Home - Salem | Mcminnville, OR | Home health agency |
Willamette Valley Medical Center | Mcminnville, OR | Hospital |
Tuality Community Hospital | Hillsboro, OR | Hospital |
West Valley Hospital | Dallas, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Confederated Tribes Of The Grand Ronde Community Of Oregon | 6103717277 | 14 |
Entity Name | Confederated Tribes Of The Grand Ronde Community Of Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174666358 PECOS PAC ID: 6103717277 Enrollment ID: O20040320000494 |
Mailing Address | Practice Location Address |
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Lance Gregory Loberg, MD 1002 Bellevue St Se, Salem, OR 97301-4006 Ph: (503) 561-5554 | Lance Gregory Loberg, MD 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2002 |
Carolyn S Fairfax, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002 Fax: 503-879-2071 | |
Brianna Wing, NP, RN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002 | |
Randall E Blome, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002 Fax: 503-879-2015 |