Kolby Wade, CNM | |
1937 W Harvard Ave, Roseburg, OR 97471-2720 | |
(541) 677-7200 | |
(541) 229-3309 |
Full Name | Kolby Wade |
---|---|
Gender | Male |
Speciality | Certified Nurse Midwife (cnm) |
Experience | 3 Years |
Location | 1937 W Harvard Ave, Roseburg, 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 |
---|---|---|---|
1407517931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Medical Center | Roseburg, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centennial Medical Group East Llc | 9234397878 | 55 |
Entity Name | Centennial Medical Group East Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134436637 PECOS PAC ID: 9234397878 Enrollment ID: O20120228000510 |
Mailing Address | Practice Location Address |
---|---|
Kolby Wade, CNM 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 Ph: (541) 677-7200 | Kolby Wade, CNM 1937 W Harvard Ave, Roseburg, OR 97471-2720 Ph: (541) 677-7200 |
Ms. Karen Ann Beesley, CNM, NP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2993 Ne Douglas Ave, Roseburg, OR 97470 Phone: 541-229-0232 | |
Sarah A. Paeth, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1937 W. Harvard Ave., Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309 | |
Kathryn Lechner, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2460 Nw Stewart Pkwy Ste 240, Roseburg, OR 97471 Phone: 541-677-4427 | |
Stacie L. Hanna, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1937 W Harvard Ave, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309 | |
Stephanie Kendall Wiley, NMNP LAC Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-957-3700 Fax: 541-440-3589 |