| Jefferson F Livermon Jr, MD | |
|
916 Koala Dr, Omak, WA 98841-9759 | |
| (509) 663-8711 | |
| Not Available |
| Full Name | Jefferson F Livermon Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 916 Koala Dr, Omak, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861462657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD60495645 (Washington) | Primary |
| Entity Name | Community Health Centers Of The Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336193838 PECOS PAC ID: 2961467386 Enrollment ID: O20041129000357 |
| Entity Name | Community Health Centers Of The Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073567590 PECOS PAC ID: 2961467386 Enrollment ID: O20041129000784 |
| Entity Name | Community Health Centers Of The Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104870922 PECOS PAC ID: 2961467386 Enrollment ID: O20050131001023 |
| Entity Name | Community Health Centers Of The Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467681114 PECOS PAC ID: 2961467386 Enrollment ID: O20100804000784 |
| Entity Name | Community Health Centers Of The Rutland Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780969345 PECOS PAC ID: 2961467386 Enrollment ID: O20120321000420 |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson F Livermon Jr, MD 820 N Chelan Ave, Wenatchee, WA 98801-2028 Ph: (509) 663-8711 | Jefferson F Livermon Jr, MD 916 Koala Dr, Omak, WA 98841-9759 Ph: (509) 663-8711 |
Dr. Alana Jean Jackson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 916 Koala Dr, Omak, WA 98841 Phone: 509-663-8711 | |
Dr. Robert John Scrimgeour Weston, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 916 Koala Ave, Omak Clinic, Omak, WA 98841 Phone: 509-826-1800 | |
Dr. Sarah Marie Campbell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 916 Koala Dr, Omak, WA 98841 Phone: 509-663-8711 | |
Dr. Ute M Wilcox, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 916 Koala Ave, Omak, WA 98841 Phone: 509-663-8711 | |
Alexa Deann Czmowski, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 916 Koala Dr, Omak, WA 98841 Phone: 509-663-8711 | |
Caleb Gillham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 916 Koala Dr, Omak, WA 98841 Phone: 509-663-8711 | |
Dr. Sarah Michaels, DO, MBA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1003 Koala Dr, Omak, WA 98841 Phone: 800-660-2129 Fax: 855-204-8902 |