Mr Peter L Lusich Iv, MD | |
2865 Daggett Ave, Klamath Falls, OR 97601-1106 | |
(541) 882-6311 | |
(775) 883-0797 |
Full Name | Mr Peter L Lusich Iv |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 22 Years |
Location | 2865 Daggett Ave, Klamath Falls, 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 |
---|---|---|---|
1093735342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 11770 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sky Lakes Medical Center | Klamath falls, OR | Hospital |
Salem Hospital | Salem, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Associates Northwest Llc | 7618908484 | 86 |
Salem Health | 8628986668 | 393 |
Entity Name | Salem Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131 |
Entity Name | Anesthesia Associates Northwest Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459 |
Entity Name | Peter Lusich Anesthesia Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295088169 PECOS PAC ID: 3779728274 Enrollment ID: O20130404000550 |
Mailing Address | Practice Location Address |
---|---|
Mr Peter L Lusich Iv, MD Po Box 1359, Klamath Falls, OR 97601-0075 Ph: (541) 882-1540 | Mr Peter L Lusich Iv, MD 2865 Daggett Ave, Klamath Falls, OR 97601-1106 Ph: (541) 882-6311 |
Dr. John Frederick Swetland, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2865 Daggett Ave, Klamath Falls, OR 97601 Phone: 503-543-8402 Fax: 503-543-8402 | |
Susan F Barnes, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2865 Daggett Ave, Klamath Falls, OR 97601 Phone: 541-882-6311 | |
Dr. Vincent Dean Herr, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7905 S 6th Street, Unit B, Klamath Falls, OR 97603 Phone: 541-883-4573 Fax: 541-883-4573 | |
Henry C Louderbough, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2865 Daggett Ave, Klamath Falls, OR 97601 Phone: 541-882-6311 | |
Todd J Kirschenmann, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2865 Daggett Ave, Klamath Falls, OR 97601 Phone: 541-882-6311 | |
Charles T Gonsowski, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2865 Daggett Ave, Klamath Falls, OR 97601 Phone: 541-882-6311 |