Velez Psychiatric Services Llc | |
1140 Willagillespie Rd # 44 Eugene OR 97401-6727 | |
(480) 209-9074 | |
Not Available |
Full Name | Velez Psychiatric Services Llc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 1140 Willagillespie Rd # 44, Eugene, Oregon |
Authorized Official Name and Position | Alfredo Velez (OWNER) |
Authorized Official Contact | 4802099074 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Velez Psychiatric Services Llc Po Box 5954 Eugene OR 97405-0911 Ph: (480) 209-9074 | Velez Psychiatric Services Llc 1140 Willagillespie Rd # 44 Eugene OR 97401-6727 Ph: (480) 209-9074 |
NPI Number | 1376240390 |
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Provider Enumeration Date | 02/09/2023 |
Last Update Date | 02/09/2023 |
Certification Date | 02/09/2023 |
Medicare PECOS PAC ID | 9638534860 |
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Medicare Enrollment ID | O20230424000321 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376240390 | NPI | - | NPPES |
500601188 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Alfredo J Velez |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1619175635 PECOS PAC ID: 7618038464 Enrollment ID: I20081211000468 |
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