Jessica Lynn Zachem Caldwell, | |
375 Nw Beaver St Ste 101, Prineville, OR 97754-1802 | |
(541) 383-3005 | |
Not Available |
Full Name | Jessica Lynn Zachem Caldwell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 375 Nw Beaver St Ste 101, Prineville, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326802232 | NPI | - | NPPES |
500833897 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F01240682 (Oregon) | Primary |
Entity Name | Mosaic Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083633184 PECOS PAC ID: 5395653497 Enrollment ID: O20040528001371 |
Mailing Address | Practice Location Address |
---|---|
Jessica Lynn Zachem Caldwell, Po Box 4228, Portland, OR 97208-4228 Ph: (541) 316-6026 | Jessica Lynn Zachem Caldwell, 375 Nw Beaver St Ste 101, Prineville, OR 97754-1802 Ph: (541) 383-3005 |
Gina Peach, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 384 Se Combs Flat Rd, Prineville, OR 97754 Phone: 541-447-6263 | |
Suzanne M Jones, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 375 Nw Beaver St Ste 101, Prineville, OR 97754 Phone: 541-447-0707 Fax: 541-383-1883 | |
Ms. Linda Hatch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 375 Nw Beaver St, Prineville, OR 97754 Phone: 541-447-0707 Fax: 541-447-0708 | |
Amber Marie Toomey, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 384 Se Combs Flat Rd Ste 1200, Prineville, OR 97754 Phone: 541-447-6263 Fax: 541-447-8724 | |
Mr. Dean Arthur Laney, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 375 Nw Beaver St., Suite 100, Prineville, OR 97754 Phone: 541-447-5165 Fax: 541-447-3093 | |
Mrs. Diana M Burden, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 375 Nw Beaver St Ste 101, Prineville, OR 97754 Phone: 541-447-0707 | |
Sarah Deniece Kershner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 375 Nw Beaver St Ste 101, Prineville, OR 97754 Phone: 541-383-3005 Fax: 541-383-1883 |