Ms Peri Anne Mayes, PMHNP-BC | |
535 Ne 6th Ave, Estacada, OR 97023-9312 | |
(503) 630-8550 | |
Not Available |
Full Name | Ms Peri Anne Mayes |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 535 Ne 6th Ave, Estacada, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942790035 | NPI | - | NPPES |
500780769 | Medicaid | OR | |
133957 | Other | MO | MISSOURI STATE BOARD OF NURSING--REGISTERED NURSE # |
2018001235 | Other | AMERICAN NURSES CREDENTIALING CENTER--PMHNP CERTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 133957 (Missouri) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 202005499 (Oregon) | Primary |
Entity Name | Rainier Springs Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306321237 PECOS PAC ID: 0547514549 Enrollment ID: O20181109001590 |
Mailing Address | Practice Location Address |
---|---|
Ms Peri Anne Mayes, PMHNP-BC 4360 Holly Hills Blvd, Saint Louis, MO 63116-2253 Ph: (314) 481-3660 | Ms Peri Anne Mayes, PMHNP-BC 535 Ne 6th Ave, Estacada, OR 97023-9312 Ph: (503) 630-8550 |
Ivy Seaburg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 535 Ne 6th Ave, Estacada, OR 97023 Phone: 503-630-8550 | |
Denyse Collins, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34575 Se Doyle Rd, Estacada, OR 97023 Phone: 206-565-3937 | |
Candice Lyn Hunter, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 535 Ne 6th Ave, Estacada, OR 97023 Phone: 503-630-8550 | |
Mrs. Sara Kline Mitenbuler, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 535 Ne 6th Ave, Estacada, OR 97023 Phone: 503-630-8550 | |
Dr. Patricia Ann Mcquillin Voss, CNM, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 548 Sw Dogwood Rd, Estacada, OR 97023 Phone: 406-390-0084 |