| Dr John E Hickey, MD | |
|
100 Mullins Dr Ste C2, Lebanon, OR 97355-2868 | |
| (541) 451-6413 | |
| Not Available |
| Full Name | Dr John E Hickey |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 100 Mullins Dr Ste C2, Lebanon, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497782205 | NPI | - | NPPES |
| 155952 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD15378 (Oregon) | Primary |
| 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 John E Hickey, MD Po Box 1193, Corvallis, OR 97339-1193 Ph: () - | Dr John E Hickey, MD 100 Mullins Dr Ste C2, Lebanon, OR 97355-2868 Ph: (541) 451-6413 |
Susmita Chowdhury, Family Medicine Medicare: Medicare Enrolled Practice Location: 35 Mullins Dr Ste 2, Lebanon, OR 97355 Phone: 541-451-7915 | |
Heather Christianson, Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Mullins Dr, Lebanon, OR 97355 Phone: 541-259-0200 | |
Patricia Ann Harding, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 39127 Griggs Dr, Lebanon, OR 97355 Phone: 541-451-2613 | |
Keith Messenger, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Mullins Dr, Lebanon, OR 97355 Phone: 541-259-0200 | |
Dr. Morgan Cameron Wimmer, Family Medicine Medicare: Medicare Enrolled Practice Location: 675 N 5th St Ste 200, Lebanon, OR 97355 Phone: 541-451-6282 | |
Dr. Thad L. Nelson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 325 Park St, Lebanon, OR 97355 Phone: 541-451-7200 Fax: 541-451-7207 | |
Gina Ann Miller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 425 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-6960 Fax: 541-451-7271 |