| P3 Medical Group Pc | |
|
2525 12th St Se Ste 260 Salem OR 97302-2282 | |
| (971) 239-0001 | |
| Not Available |
| Full Name | P3 Medical Group Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2525 12th St Se Ste 260, Salem, Oregon |
| Authorized Official Name and Position | Douglas Eliason (PRESIDENT) |
| Authorized Official Contact | 9712390001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| P3 Medical Group Pc 2370 Corporate Cir Ste 300 Henderson NV 89074-7760 Ph: (702) 910-3950 | P3 Medical Group Pc 2525 12th St Se Ste 260 Salem OR 97302-2282 Ph: (971) 239-0001 |
| NPI Number | 1689266926 |
|---|---|
| Provider Enumeration Date | 02/08/2021 |
| Last Update Date | 08/22/2023 |
| Medicare PECOS PAC ID | 8527476449 |
|---|---|
| Medicare Enrollment ID | O20210414001151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689266926 | NPI | - | NPPES |
| Provider Name | Candace M Hatton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023081528 PECOS PAC ID: 8921024415 Enrollment ID: I20051024000848 |
| Provider Name | Catia H Gargan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063461242 PECOS PAC ID: 2769433663 Enrollment ID: I20080303000289 |
| Provider Name | Douglas D Eliason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306909288 PECOS PAC ID: 2264598606 Enrollment ID: I20090310000100 |
| Provider Name | Vanessa Darnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679806137 PECOS PAC ID: 2567508617 Enrollment ID: I20180725003458 |
| Provider Name | Jennifer J Manson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174098180 PECOS PAC ID: 3072858968 Enrollment ID: I20181220003240 |
| Provider Name | Heidi Ann Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700967304 PECOS PAC ID: 0547241820 Enrollment ID: I20201229002973 |
| Provider Name | Schadrey L. Bonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023475282 PECOS PAC ID: 2668777525 Enrollment ID: I20201229003122 |
| Provider Name | Jeffrey G Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568624187 PECOS PAC ID: 2567622707 Enrollment ID: I20210107002375 |
| Provider Name | Mary M Nara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053369272 PECOS PAC ID: 1052384138 Enrollment ID: I20210201001074 |
| Provider Name | Matthew Szvetecz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326086950 PECOS PAC ID: 8224941281 Enrollment ID: I20220914001471 |
| Provider Name | Kristin Everett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679566111 PECOS PAC ID: 8224213202 Enrollment ID: I20220927001994 |
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