| Emily A Lieuallen, DO | |
|
43658 State Highway 299 E, Fall River Mills, CA 96028-9819 | |
| (530) 999-9020 | |
| (530) 362-4068 |
| Full Name | Emily A Lieuallen |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | 43658 State Highway 299 E, Fall River Mills, California |
| 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 | 20A25074 (California) | Primary |
| 207Q00000X | Family Medicine | DO164168 (Oregon) | Secondary |
| 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 Po Box 490, Fall River Mills, CA 96028-0490 Ph: (530) 999-9020 | Emily A Lieuallen, DO 43658 State Highway 299 E, Fall River Mills, CA 96028-9819 Ph: (530) 999-9020 |
Dr. Timothy William Wilkins, M.A., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 43563 State Highway 299 E, Fall River Mills, CA 96028 Phone: 530-336-6535 Fax: 530-335-5166 | |
Dr. Tawana Nichole Nix, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 43563 1/2 Hwy 299, Fall River Mills, CA 96028 Phone: 530-246-5910 Fax: 530-357-2862 | |
Tommy Paul Saborido, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 43563 Ca-299, Fall River Mills, CA 96028 Phone: 530-336-5511 |