Michelle Dezura Anthony, NP | |
5125 Skyline Rd S, Salem, OR 97306-9427 | |
(503) 315-4663 | |
Not Available |
Full Name | Michelle Dezura Anthony |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 24 Years |
Location | 5125 Skyline Rd S, Salem, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649314220 | NPI | - | NPPES |
00754042 | Medicaid | MS | |
1013889 | Medicaid | LA |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1484 |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
---|---|
Michelle Dezura Anthony, NP 5125 Skyline Rd S, Salem, OR 97306-9413 Ph: (503) 315-4663 | Michelle Dezura Anthony, NP 5125 Skyline Rd S, Salem, OR 97306-9427 Ph: (503) 315-4663 |
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