John Stewart Prickett, NP | |
10221 Se Sunnyside Rd, Clackamas, OR 97015-9782 | |
(503) 684-8252 | |
Not Available |
Full Name | John Stewart Prickett |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 10221 Se Sunnyside Rd, Clackamas, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1134736838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 202008524NP-PP (Oregon) | Primary |
Entity Name | Legacy Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Entity Name | Canby Healthcare Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114253713 PECOS PAC ID: 7315074994 Enrollment ID: O20100430000240 |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191220002077 |
Mailing Address | Practice Location Address |
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John Stewart Prickett, NP 10221 Se Sunnyside Rd, Clackamas, OR 97015-9782 Ph: (503) 684-8252 | John Stewart Prickett, NP 10221 Se Sunnyside Rd, Clackamas, OR 97015-9782 Ph: (503) 684-8252 |
Ms. Nancy Novig, CRNA, MS Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-3860 | |
Sharon F Maxey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Trisha Mendoza Lopez, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000 | |
Jennifer K.w. Ching, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-786-8435 | |
Ms. Sunny Elizabeth St. Germain, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8645 Se Sunnybrook Blvd Ste 200, Clackamas, OR 97015 Phone: 503-659-1694 Fax: 503-659-8984 | |
Amanda Ankeny, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8645 Se Sunnybrook Blvd # 200, Clackamas, OR 97015 Phone: 503-659-1694 | |
Mrs. Kelcey Chilcott, PNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9290 Se Sunnybrook Blvd, 200, Clackamas, OR 97015 Phone: 503-659-1694 |