| Tammy Wiscovitch, | |
|
1515 Village Dr, Cottage Grove, OR 97424-9700 | |
| (541) 767-5311 | |
| Not Available |
| Full Name | Tammy Wiscovitch |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 13 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 |
|---|---|---|---|
| 1891501748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 10215552 (Oregon) | Secondary |
| 133V00000X | Dietitian, Registered | 753576 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peacehealth Cottage Grove Community Medical Center | Cottage grove, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth Medical Group | 9032023270 | 256 |
| Provider Name | Peacehealth |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1902892391 PECOS PAC ID: 1254242357 Enrollment ID: O20030922000023 |
| Provider Name | Peacehealth Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097 |
| Provider Name | Peacehealth Medical Group Cottage Grove |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780631267 PECOS PAC ID: 9436060530 Enrollment ID: O20040616001333 |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy Wiscovitch, 1732 W 27th Pl, Eugene, OR 97405-1730 Ph: (909) 578-2434 | Tammy Wiscovitch, 1515 Village Dr, Cottage Grove, OR 97424-9700 Ph: (541) 767-5311 |
Genevieve Murstig, Dietitian Medicare: May Accept Medicare Assignments Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-767-5311 |
Heather Marie Weir, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-942-6610 |