| Emily A Lieuallen, DO | |
|
Strawberry Wilderness Clinic, 180 Ford Rd., John Day, OR 97845 | |
| (541) 575-0404 | |
| (541) 575-4158 |
| Full Name | Emily A Lieuallen |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | Strawberry Wilderness Clinic, John Day, 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 |
|---|---|---|---|
| 1669786174 | NPI | - | NPPES |
| 1669786174 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO164168 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blue Mountain Hospice | John day, OR | Hospice |
| Blue Mountain Hospital | John day, OR | Hospital |
| St Charles Medical Center - Bend | Bend, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Mountain Hospital District | 5193719219 | 21 |
| Entity Name | Blue Mountain Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568536035 PECOS PAC ID: 5193719219 Enrollment ID: O20040412001588 |
| Entity Name | Western Healthcare Services Texas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336878024 PECOS PAC ID: 7911388202 Enrollment ID: O20220718002665 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily A Lieuallen, DO 180 Ford Rd, John Day, OR 97845-2009 Ph: (475) 750-4045 | Emily A Lieuallen, DO Strawberry Wilderness Clinic, 180 Ford Rd., John Day, OR 97845 Ph: (541) 575-0404 |
Caitlin R Maccoun, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 Ford Rd, John Day, OR 97845 Phone: 206-386-6111 | |
Robyn Jennings, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 Ford Rd, John Day, OR 97845 Phone: 541-575-0404 | |
Dr. Bennette Edward Norton Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 180 Ford Road, John Day, OR 97845 Phone: 541-575-0404 Fax: 541-575-1124 | |
Dr. Zachary Max Bailey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 180 Ford Rd, John Day, OR 97845 Phone: 541-575-0404 Fax: 541-575-1124 |