Leon Ross Aylett Iii, AGPCNP | |
1807 Cove Ave, La Grande, OR 97850-3516 | |
(541) 663-9008 | |
(541) 624-5454 |
Full Name | Leon Ross Aylett Iii |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 1807 Cove Ave, La Grande, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467917187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 202208292NP-PP (Oregon) | Primary |
Entity Name | Western Skies Wellness Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124754155 PECOS PAC ID: 3971972563 Enrollment ID: O20221202000920 |
Mailing Address | Practice Location Address |
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Leon Ross Aylett Iii, AGPCNP 1807 Cove Ave, La Grande, OR 97850-3516 Ph: (541) 663-9008 | Leon Ross Aylett Iii, AGPCNP 1807 Cove Ave, La Grande, OR 97850-3516 Ph: (541) 663-9008 |
Jennifer Marie Province, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 University Blvd, La Grande, OR 97850 Phone: 541-962-3803 | |
Dr. Pamela M Mcwhirter, DNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 Sunset Dr, La Grande, OR 97850 Phone: 541-663-3030 Fax: 541-975-5201 | |
Dr. Gary Robert Laustsen, FNP, PHD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 University Blvd, La Grande, OR 97850 Phone: 541-962-3132 | |
Heather Wiggins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 University Blvd, La Grande, OR 97850 Phone: 541-962-3825 | |
Scott Alden Widener, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Sunset Dr, La Grande, OR 97850 Phone: 541-963-1412 Fax: 541-963-1488 | |
Jacqui Kleeman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Depot St, La Grande, OR 97850 Phone: 541-963-3772 | |
Ms. Jessica Eileen Martin, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 506 4th St, La Grande, OR 97850 Phone: 541-663-3138 |