Ernest Eugene Lissy, FNP | |
1375 N 10th Ave, Stayton, OR 97383-2099 | |
(503) 769-2641 | |
(503) 769-3797 |
Full Name | Ernest Eugene Lissy |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 23 Years |
Location | 1375 N 10th Ave, Stayton, 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 |
---|---|---|---|
1013998475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 200450135NP FNP-PP (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Signature Healthcare At Home | Tigard, OR | Home health agency |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Daiya Healthcare Pllc | 6002158615 | 97 |
Entity Name | Daiya Healthcare Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477027381 PECOS PAC ID: 6002158615 Enrollment ID: O20200309000992 |
Mailing Address | Practice Location Address |
---|---|
Ernest Eugene Lissy, FNP 1375 N 10th Ave, Stayton, OR 97383-2099 Ph: (503) 769-2641 | Ernest Eugene Lissy, FNP 1375 N 10th Ave, Stayton, OR 97383-2099 Ph: (503) 769-2641 |
Elizabeth Apollo-loomis, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 N 10th Ave, Stayton, OR 97383 Phone: 503-769-9307 | |
Amanda Gildersleeve, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1095 N 1st Ave, Stayton, OR 97383 Phone: 503-767-3226 | |
Jennifer Rae Muller, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1375 N 10th Ave, Stayton, OR 97383 Phone: 503-769-2641 | |
Casey Lulay, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1881 W Washington St, Stayton, OR 97383 Phone: 503-507-5356 Fax: 866-225-2708 | |
Patricia Marie Sherman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1375 N 10th Ave, Stayton, OR 97383 Phone: 503-769-2641 Fax: 503-769-3797 | |
Maria Margarita Turney, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 N 10th Ave Ste 100, Stayton, OR 97383 Phone: 503-769-6386 Fax: 503-769-5647 |