Stefan Leo-nyquist, DO in Corvallis, OR - Medicare Family Practice

Stefan Leo-nyquist, DO is a medicare enrolled "Family Medicine" physician in Corvallis, Oregon. He went to University Of New England, College Of Osteo Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Tanana Valley Clinic Llc and his current practice location is 3600 Nw Samaritan Dr, Corvallis, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 768-4906.

Stefan Leo-nyquist is licensed to practice in Oregon (license number PG188468) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114414265.

Contact Information

	Stefan Leo-nyquist, DO
	3600 Nw Samaritan Dr, Corvallis, OR 97330-3737
	(541) 768-4906
	Not Available

Map and Direction

Physician's Profile

Full Name	Stefan Leo-nyquist
Gender	Male
Speciality	Family Practice
Experience	6 Years
Location	3600 Nw Samaritan Dr, Corvallis, 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.

Medical Education and Training:

Stefan Leo-nyquist attended and graduated from University Of New England, College Of Osteo Medicine in 2018

NPI Data:

NPI Number: 1114414265
Provider Enumeration Date: 04/15/2018
Last Update Date: 04/15/2018

Medicare PECOS Information:

PECOS PAC ID: 3971852377
Enrollment ID: I20231109000642

Medical Identifiers

Medical identifiers for Stefan Leo-nyquist such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114414265	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	PG188468 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fairbanks Memorial Hospital	Fairbanks, AK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tanana Valley Clinic Llc	5698056901	106

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stefan Leo-nyquist allows following entities to bill medicare on his behalf.

Entity Name	Tanana Valley Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stefan Leo-nyquist is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stefan Leo-nyquist, DO 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 Ph: (541) 768-4906	Stefan Leo-nyquist, DO 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 Ph: (541) 768-4906

Reviews and Comments

Family Medicine Doctors in Corvallis, OR

Dr. Nicole Keyser, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-4906
Aaron Wang, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-4906
Dolly Nicole Myers, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-4906
Bryce L Cleary, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150
Jennifer L Micek, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 530 Nw 27th St, Corvallis, OR 97330 Phone: 541-766-6835 Fax: 541-766-6186
Tobin D Rummel, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1760 Sw 3rd St, Corvallis, OR 97333 Phone: 541-207-3773 Fax: 800-549-1017
Dr. Margaret Youngah Kim, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-4903

Stefan Leo-nyquist, DO - Medicare Family Practice in Corvallis, OR