| Caleb Wright, | |
|
3200 Juanipero Way, Medford, OR 97504-8580 | |
| (541) 816-4131 | |
| (458) 226-2163 |
| Full Name | Caleb Wright |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 3200 Juanipero Way, Medford, 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 |
|---|---|---|---|
| 1164949970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 202010134RN (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Salt Lake Behavioral Health Llc | 6709915473 | 7 |
| Entity Name | Salt Lake Behavioral Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295066116 PECOS PAC ID: 6709915473 Enrollment ID: O20120315000189 |
| Mailing Address | Practice Location Address |
|---|---|
| Caleb Wright, 3587 Heathrow Way, Medford, OR 97504-4004 Ph: (541) 858-8170 | Caleb Wright, 3200 Juanipero Way, Medford, OR 97504-8580 Ph: (541) 816-4131 |
Katherine Leonis, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 200 Beatty St, Medford, OR 97501 Phone: 541-476-2373 |
Kara E. Carney, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3617 S Pacific Hwy, Medford, OR 97501 Phone: 541-535-6239 Fax: 541-512-1026 |
Daniel Maclellan, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3617 S Pacific Hwy, Medford, OR 97501 Phone: 541-535-6239 |
Lori Lee Schear, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 610 S Peach St, Medford, OR 97501 Phone: 541-842-3855 Fax: 541-842-3521 |
Corona Sodemann, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 730 Biddle Rd, Medford, OR 97504 Phone: 541-690-3555 |
Jessica A Silva, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 713 Summit Ave, Medford, OR 97501 Phone: 541-842-3771 Fax: 541-842-3084 |
Judith Anderson, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1309 Highcrest Dr, Medford, OR 97504 Phone: 541-890-8069 Fax: 541-608-8869 |