Miss Lisa M Parker, FNP-BC | |
1515 Village Dr, Cottage Grove, OR 97424 | |
(541) 767-5200 | |
(541) 767-5399 |
Full Name | Miss Lisa M Parker |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 17 Years |
Location | 1515 Village Dr, Cottage Grove, 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 |
---|---|---|---|
1831422336 | NPI | - | NPPES |
08657850 | Medicaid | MS | |
12027545 | Other | MS | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R852821 (Mississippi) | Secondary |
363L00000X | Nurse Practitioner | 201502986NP-PP (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nisha Jackson Inc. | 6305147745 | 37 |
Entity Name | Peacehealth |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1902892391 PECOS PAC ID: 1254242357 Enrollment ID: O20030922000023 |
Entity Name | Sky Lakes Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659340370 PECOS PAC ID: 1052204096 Enrollment ID: O20040204000577 |
Entity Name | Peacehealth Medical Group Cottage Grove |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780631267 PECOS PAC ID: 9436060530 Enrollment ID: O20040616001333 |
Entity Name | Nisha Jackson Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124499124 PECOS PAC ID: 6305147745 Enrollment ID: O20151209000878 |
Mailing Address | Practice Location Address |
---|---|
Miss Lisa M Parker, FNP-BC 1115 Se 164th Ave Dept 358, Vancouver, WA 98683-8004 Ph: (360) 729-1253 | Miss Lisa M Parker, FNP-BC 1515 Village Dr, Cottage Grove, OR 97424 Ph: (541) 767-5200 |
Pearl Ann Jobe, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Birch Ave, Cottage Grove, OR 97424 Phone: 541-942-3939 Fax: 541-942-9310 | |
Angela Gates, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 790 Fairview Loop, Cottage Grove, OR 97424 Phone: 541-505-4913 | |
Nancy C. Bidlack, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 410 N 9th St, Cottage Grove, OR 97424 Phone: 541-942-2850 Fax: 541-942-1574 | |
Jean Langkow, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-942-6610 Fax: 541-942-6750 | |
Mary Ruth, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1445 Gateway Blvd, Cottage Grove, OR 97424 Phone: 541-942-7000 Fax: 541-942-5550 | |
Leandra Gambee, GNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-942-6610 Fax: 541-942-0353 | |
Suzanne M. Snellen, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-942-6610 |