| Minette Cruz Lukban, MD | |
|
500 Sw Ramsey Ave, C/o Hospitalist, Grants Pass, OR 97527-5554 | |
| (914) 563-5344 | |
| Not Available |
| Full Name | Minette Cruz Lukban |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 22 Years |
| Location | 500 Sw Ramsey Ave, Grants Pass, 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 |
|---|---|---|---|
| 1518287739 | NPI | - | NPPES |
| 1518287739 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD60693541 (Washington) | Secondary |
| 207R00000X | Internal Medicine | MD150839 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tuality Community Hospital | Hillsboro, OR | Hospital |
| Providence Willamette Falls Medical Center | Oregon city, OR | Hospital |
| Ohsu Hospital And Clinics | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 0648183608 | 1338 |
| Tuality Medical Group Llc | 7416173414 | 255 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Entity Name | Good Shepherd Health Care System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046 |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093976243 PECOS PAC ID: 3476450560 Enrollment ID: O20031217000186 |
| Entity Name | Curry Health District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487696985 PECOS PAC ID: 2365352747 Enrollment ID: O20040109000983 |
| Entity Name | Tuality Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275591984 PECOS PAC ID: 3678486107 Enrollment ID: O20040130000359 |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568547503 PECOS PAC ID: 5294623245 Enrollment ID: O20040310000315 |
| Entity Name | South Sound Inpatient Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508023789 PECOS PAC ID: 5991618738 Enrollment ID: O20050401000747 |
| Entity Name | Asante Physician Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922381326 PECOS PAC ID: 8325206246 Enrollment ID: O20120223000671 |
| Entity Name | Vibra Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659705424 PECOS PAC ID: 8921233933 Enrollment ID: O20140528001804 |
| Entity Name | Tuality Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073929782 PECOS PAC ID: 7416173414 Enrollment ID: O20140729000238 |
| Entity Name | Rural Physicians Group-pannu Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891236584 PECOS PAC ID: 0345467486 Enrollment ID: O20140925000300 |
| Mailing Address | Practice Location Address |
|---|---|
| Minette Cruz Lukban, MD 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 Ph: () - | Minette Cruz Lukban, MD 500 Sw Ramsey Ave, C/o Hospitalist, Grants Pass, OR 97527-5554 Ph: (914) 563-5344 |
Dr. Daniel S Selinger, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 495 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-476-6644 Fax: 541-472-5673 | |
Mr. Roger Ward Steinbrenner, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 181 Nw Bunnell, Grants Pass, OR 97526 Phone: 541-479-7568 Fax: 541-479-7569 | |
Dr. Alexander Erino Bonato, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-7000 | |
Dr. John Spencer Countiss, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 495 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-476-6644 Fax: 541-472-5673 | |
Dr. Sheldon Junior Mckenzie, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 Sw Ramsey Avenue, Suite 205, Grants Pass, OR 97527 Phone: 541-507-2140 | |
Christian Stewart Holland, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Nw Hawthorne Ave, Siskiyou Community Health Center, Grants Pass, OR 97526 Phone: 541-472-4777 | |
Dr. Nicole Marie Janet Cowley, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-789-4281 |