Sean Joseph Prendergast, | |
525 N Santiam Hwy, Lebanon, OR 97355-4363 | |
(541) 258-2101 | |
(541) 451-7862 |
Full Name | Sean Joseph Prendergast |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 525 N Santiam Hwy, Lebanon, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447606231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD193346 (Oregon) | Primary |
Entity Name | Mid-valley Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20031111000297 |
Entity Name | Mid-valley Healthcare Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20061104000140 |
Mailing Address | Practice Location Address |
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Sean Joseph Prendergast, Po Box 1193, Corvallis, OR 97339-1193 Ph: () - | Sean Joseph Prendergast, 525 N Santiam Hwy, Lebanon, OR 97355-4363 Ph: (541) 258-2101 |
Dr. Reed E. Paulson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-7115 Fax: 541-451-7095 | |
Dr. Leon C. Eshleman, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 35 Mullins Dr, Suite 2, Lebanon, OR 97355 Phone: 541-451-7915 Fax: 541-451-7943 | |
Dr. Amelia Mae Servin, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Mullins Dr, Lebanon, OR 97355 Phone: 541-259-0200 | |
Dr. Gail C. Defrees, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-7115 Fax: 541-451-7095 | |
Dr. Cameron Kyle Scott, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-7115 | |
Dr. Daniel Leo Sprague, M.D., PH.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 525 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-7115 | |
Tasha Barkley, M. D. M.P.H. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-258-2101 |