Jaclyn Rochefort, | |
1046 6th Ave Sw, Albany, OR 97321-1916 | |
(541) 812-4000 | |
Not Available |
Full Name | Jaclyn Rochefort |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1046 6th Ave Sw, Albany, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184269243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704326890 (Michigan) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 10000196 (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 | Good Samaritan Hospital Corvallis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962453134 PECOS PAC ID: 1557270725 Enrollment ID: O20031125000163 |
Entity Name | Albany General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154372340 PECOS PAC ID: 9931097987 Enrollment ID: O20040310000310 |
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 |
Entity Name | Emerald Valley Anesthesia |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679355820 PECOS PAC ID: 8729437199 Enrollment ID: O20231211001129 |
Mailing Address | Practice Location Address |
---|---|
Jaclyn Rochefort, Po Box 1188, Corvallis, OR 97339-1188 Ph: () - | Jaclyn Rochefort, 1046 6th Ave Sw, Albany, OR 97321-1916 Ph: (541) 812-4000 |
Mr. Alexander Samuel Whidden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 | |
Tyson Flohr, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 | |
John Allen Oaks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 | |
Lars Lunsmann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 930 Sw 9th Avenue, Albany, OR 97321 Phone: 541-926-9611 Fax: 541-926-6152 | |
Michael E Emery, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-926-9611 | |
Jessica Rae Slaght-langworthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 |