| Dr Jennifer Lycette, MD | |
|
725 S Wahanna Rd Ste 100, Seaside, OR 97138-7735 | |
| (503) 717-7650 | |
| (971) 712-2199 |
| Full Name | Dr Jennifer Lycette |
|---|---|
| Gender | Female |
| Speciality | Hematology/oncology |
| Experience | 25 Years |
| Location | 725 S Wahanna Rd Ste 100, Seaside, 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 |
|---|---|---|---|
| 1801847355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00045720 (Washington) | Secondary |
| 207RX0202X | Internal Medicine - Medical Oncology | MD24559 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Seaside Hospital | Seaside, OR | Hospital |
| Adventist Health Tillamook | Tillamook, OR | Hospital |
| Columbia Memorial Hospital | Astoria, OR | Hospital |
| Providence St Vincent Medical Center | Portland, OR | Hospital |
| Ocean Beach Hospital | Ilwaco, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 1557260106 | 88 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20040102000768 |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Lycette, MD Po Box 3397, Portland, OR 97208-3397 Ph: (503) 717-7443 | Dr Jennifer Lycette, MD 725 S Wahanna Rd Ste 100, Seaside, OR 97138-7735 Ph: (503) 717-7650 |
Humza Saleem Maqbool, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 S Wahanna Rd, Seaside, OR 97138 Phone: 503-717-7000 | |
Mark Scurrah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 S Wahanna Rd, Seaside, OR 97138 Phone: 503-717-7000 | |
Ravindra R Patil, M.D., PHD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 727 S Wahanna Rd, Seaside, OR 97138 Phone: 503-717-7650 Fax: 503-717-7624 | |
Cydney W Heims, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2367 S Roosevelt Dr, Seaside, OR 97138 Phone: 503-738-2116 | |
Kyle D Walker, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 S Wahanna Rd, Seaside, OR 97138 Phone: 503-717-7000 | |
Andrea M. Kielich, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 727 S. Wahanna Road, Seaside, OR 97138 Phone: 503-717-7556 Fax: 503-717-7476 | |
Gary M Greenberg, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 S Wahanna Rd Ste 230, Seaside, OR 97138 Phone: 503-717-7850 |