| Dr Elizabeth Anne Heskett Bouressa, MD | |
| 734 Elm St Sw, Albany, OR 97321-1934 | |
| (541) 812-5111 | |
| Not Available | 
| Full Name | Dr Elizabeth Anne Heskett Bouressa | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 734 Elm St Sw, Albany, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104890631 | NPI | - | NPPES | 
| 082623 | Medicaid | OR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | MD203466 (Oregon) | Primary | 
| Entity Name | Lane County Oregon | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1326138314 PECOS PAC ID: 7416853833 Enrollment ID: O20040309000023 | 
| Entity Name | Albany General Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1154372340 PECOS PAC ID: 9931097987 Enrollment ID: O20040310000310 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Elizabeth Anne Heskett Bouressa, MD Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Dr Elizabeth Anne Heskett Bouressa, MD 734 Elm St Sw, Albany, OR 97321-1934 Ph: (541) 812-5111 | 
| Adam B Paul, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 734 Elm St Sw, Albany, OR 97321 Phone: 541-812-5111 Fax: 541-812-5127 | |
| Dr. Christina M. Miller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1123 Hill St Se Ste B, Albany, OR 97322 Phone: 541-207-7431 Fax: 541-644-5071 | |
| Dr. Neda Afzali, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 734 Elm St Sw, Albany, OR 97321 Phone: 541-812-5111 Fax: 541-812-5127 | |
| Dr. Dana L. Kosmala, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1123 Hill St Se Ste B, Albany, OR 97322 Phone: 541-704-7304 | |
| Dr. Lisa A. Boyd, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 734 Elm St Sw, Albany, OR 97321 Phone: 541-812-5111 Fax: 541-926-9360 | |
| Dr. Matthew D. Zollinger, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 400 Nw Hickory Street, Suite 300, Albany, OR 97321 Phone: 541-812-5700 |