| Paradigm Mental Health And Wellness Llc | |
|
724 S Central Ave Ste 101d Medford OR 97501-7808 | |
| (541) 324-7171 | |
| Not Available |
| Full Name | Paradigm Mental Health And Wellness Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 724 S Central Ave Ste 101d, Medford, Oregon |
| Authorized Official Name and Position | Paul Fickes (OWNER) |
| Authorized Official Contact | 5413247171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradigm Mental Health And Wellness Llc 724 S Central Ave Ste 101d Medford OR 97501-7808 Ph: (541) 249-7724 | Paradigm Mental Health And Wellness Llc 724 S Central Ave Ste 101d Medford OR 97501-7808 Ph: (541) 324-7171 |
| NPI Number | 1073147716 |
|---|---|
| Provider Enumeration Date | 03/02/2020 |
| Last Update Date | 05/05/2021 |
| Certification Date | 05/05/2021 |
| Medicare PECOS PAC ID | 2961808076 |
|---|---|
| Medicare Enrollment ID | O20210914003177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073147716 | NPI | - | NPPES |
| Provider Name | Helena Frances Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366927220 PECOS PAC ID: 0648516989 Enrollment ID: I20190108002266 |
| Provider Name | Kellyn Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003273863 PECOS PAC ID: 2264827211 Enrollment ID: I20220310000325 |
| Provider Name | Erik Jon Dominger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396114955 PECOS PAC ID: 2365839768 Enrollment ID: I20220504001636 |
| Provider Name | Scot Lee Yarnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457914228 PECOS PAC ID: 2961833215 Enrollment ID: I20220805001501 |
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