| Mr Peter L Lusich Iv, MD | |
|
2865 Daggett Ave, Klamath Falls, OR 97601-1106 | |
| (541) 882-6311 | |
| (775) 883-0797 |
| Full Name | Mr Peter L Lusich Iv |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 23 Years |
| Location | 2865 Daggett Ave, Klamath Falls, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093735342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 11770 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sky Lakes Medical Center | Klamath falls, OR | Hospital |
| Salem Hospital | Salem, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Northwest Llc | 7618908484 | 86 |
| Salem Health | 8628986668 | 435 |
| Entity Name | Salem Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131 |
| Entity Name | Anesthesia Associates Northwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Peter L Lusich Iv, MD Po Box 1359, Klamath Falls, OR 97601-0075 Ph: (541) 882-1540 | Mr Peter L Lusich Iv, MD 2865 Daggett Ave, Klamath Falls, OR 97601-1106 Ph: (541) 882-6311 |
Dr. John Frederick Swetland, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2865 Daggett Ave, Klamath Falls, OR 97601 Phone: 503-543-8402 Fax: 503-543-8402 | |
Susan F Barnes, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2865 Daggett Ave, Klamath Falls, OR 97601 Phone: 541-882-6311 | |
Dr. Vincent D Herr, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2640 Biehn Street Ste 2, Klamath Falls, OR 97601 Phone: 541-884-5559 Fax: 541-883-4573 | |
Henry C Louderbough, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2865 Daggett Ave, Klamath Falls, OR 97601 Phone: 541-882-6311 | |
Todd J Kirschenmann, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2865 Daggett Ave, Klamath Falls, OR 97601 Phone: 541-882-6311 | |
Charles T Gonsowski, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2865 Daggett Ave, Klamath Falls, OR 97601 Phone: 541-882-6311 |