| Clyn Elan Alivio Cagas, | |
|
1623 N 1st St, Hermiston, OR 97838-1106 | |
| (458) 300-9014 | |
| Not Available |
| Full Name | Clyn Elan Alivio Cagas |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1623 N 1st St, Hermiston, 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 |
|---|---|---|---|
| 1811740855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 209026844 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kadlec Regional Medical Center | Richland, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Icco Llc | 1355406729 | 108 |
| Physicians Immediate Care And Medical Centers Ps | 7618865775 | 18 |
| Entity Name | Icco Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Clyn Elan Alivio Cagas, 1623 N 1st St, Hermiston, OR 97838 Ph: () - | Clyn Elan Alivio Cagas, 1623 N 1st St, Hermiston, OR 97838-1106 Ph: (458) 300-9014 |
Michelle Mcintyre, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Nw 11th St Ste E37, Hermiston, OR 97838 Phone: 541-567-5305 Fax: 541-667-3487 | |
Miss Phyllis Leppke Hansell, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Nw 11th St Ste E37, Hermiston, OR 97838 Phone: 541-567-5305 Fax: 541-667-3487 | |
Mrs. Joanna Marie Lewis, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1050 W Elm Ave Ste 110, Hermiston, OR 97838 Phone: 541-567-2995 Fax: 541-567-7720 | |
Maria Francisca Davila, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 230 Se 2nd St Ste A, Hermiston, OR 97838 Phone: 541-289-7777 Fax: 541-289-7778 | |
Jennifer Paxton, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 240 Se 2nd St Ste B, Hermiston, OR 97838 Phone: 503-919-7275 | |
Linda Joan Cornwell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 Nw 11th St, Hermiston, OR 97838 Phone: 541-667-3400 | |
Julie Kay Hereford, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 Nw 11th St, Hermiston, OR 97838 Phone: 541-667-3400 |