Susan Grover Colasurdo, MD | |
1600 Executive Parkway, Suite 250, Eugene, OR 97401 | |
(541) 653-9619 | |
(541) 653-8129 |
Full Name | Susan Grover Colasurdo |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 1600 Executive Parkway, Eugene, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376602292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD14419 (Oregon) | Primary |
Entity Name | University Professional Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
Mailing Address | Practice Location Address |
---|---|
Susan Grover Colasurdo, MD 1600 Executive Parkway, Suite 250, Eugene, OR 97401 Ph: (541) 653-9619 | Susan Grover Colasurdo, MD 1600 Executive Parkway, Suite 250, Eugene, OR 97401 Ph: (541) 653-9619 |
Erik Ward Fisher, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 24111 Mlk Jr Blvd, Eugene, OR 97401 Phone: 541-682-3608 Fax: 541-682-3707 | |
Mr. James Wiley Dickerson Iii, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1200 Hilyard St, Suite S-460, Eugene, OR 97401 Phone: 541-685-1794 | |
Melanie King Velez, DNP PMHNP BSN RN Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1258 High St, Eugene, OR 97401 Phone: 541-342-8437 | |
Charles Pelton Sprague Iii, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 River Ave, Eugene, OR 97404 Phone: 541-607-0897 Fax: 541-607-7581 | |
Jie Chen, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 770 E 11th Ave, Eugene, OR 97401 Phone: 458-205-7000 Fax: 458-205-7022 | |
Sunil Jacques, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1200 Hilyard St, Suite S-460, Eugene, OR 97401 Phone: 541-685-1794 | |
Mrs. Shereen Marie Underwood, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1200 Executive Pkwy Ste 260, Eugene, OR 97401 Phone: 541-683-6236 Fax: 541-683-6650 |