| Dr Stacey Leigh Winters, DO | |
| 2700 Se Stratus Ave Unit 405, Mcminnville, OR 97128-6258 | |
| (971) 287-5111 | |
| (503) 472-0127 | 
| Full Name | Dr Stacey Leigh Winters | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 2700 Se Stratus Ave Unit 405, Mcminnville, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619942331 | NPI | - | NPPES | 
| 1619942331 | Medicaid | WA | |
| 025904 | Other | WA | KRMC L&I GROUP NUMBER | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | OP60176915 (Washington) | Secondary | 
| 208000000X | Pediatrics | DO173291 (Oregon) | Primary | 
| Entity Name | Memorial Hospital Of Laramie County | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285621839 PECOS PAC ID: 1557357555 Enrollment ID: O20040423001172 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Stacey Leigh Winters, DO 2700 Se Stratus Ave, Mcminnville, OR 97128-6255 Ph: (971) 287-5111 | Dr Stacey Leigh Winters, DO 2700 Se Stratus Ave Unit 405, Mcminnville, OR 97128-6258 Ph: (971) 287-5111 | 
| Dr. Jennifer Nicole Green, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2435 Ne Cumulus Ave., Ste A, Mcminnville, OR 97128 Phone: 503-434-8286 | |
| Brent Heimuller, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128 Phone: 503-472-6161 Fax: 503-434-6290 | |
| Dr. Mary C Harbor, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128 Phone: 503-472-6161 Fax: 503-434-8486 | |
| Caleb Benjamin Hentges, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128 Phone: 503-726-1614 Fax: 503-434-6290 | |
| Alan Paul Lucas, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 503-435-6441 Fax: 503-435-6445 | |
| Mr. Kevin Glen Wherry, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2435 Ne Cumulus Ave Ste A, Mcminnville, OR 97128 Phone: 503-472-6161 Fax: 503-434-6290 | |
| Dr. Maryalice Mcnamara, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 115 Ne May Ln, Mcminnville, OR 97128 Phone: 503-472-1338 |