| Dr Eric Fillmore, DNP FNP-C | |
|
1900 Hines St Se Ste 190, Salem, OR 97302-1356 | |
| (971) 208-9249 | |
| (971) 342-3008 |
| Full Name | Dr Eric Fillmore |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1900 Hines St Se Ste 190, Salem, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235510058 | NPI | - | NPPES |
| 041349 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP7996 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 201900972NP (Oregon) | Primary |
| 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 |
|---|---|
| Dr Eric Fillmore, DNP FNP-C 1900 Hines St Se Ste 190, Salem, OR 97302-1356 Ph: (971) 208-9249 | Dr Eric Fillmore, DNP FNP-C 1900 Hines St Se Ste 190, Salem, OR 97302-1356 Ph: (971) 208-9249 |
Ashley Barth, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Bellevue St Se, Salem, OR 97301 Phone: 503-814-5554 | |
Dr. Betty Ang, PH.D., PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1660 Oak St Se, Salem Va Outpatient Clinic, Salem, OR 97301 Phone: 503-316-8817 Fax: 503-316-9037 | |
Mrs. Patricia Lynn Eich, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3180 Center St Ne, Salem, OR 97301 Phone: 503-588-5355 Fax: 503-585-4995 | |
Lisa Renee Bennett, FNP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1095 Liberty St Ne, Salem, OR 97301 Phone: 503-581-6550 Fax: 503-581-4755 | |
Curtis B Gill, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Bellevue St Se, Salem, OR 97301 Phone: 503-561-5554 | |
Mr. Matthew David Piehler, PMHNP-BC, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2045 Silverton Rd Ne Ste B, Salem, OR 97301 Phone: 503-588-5351 | |
Ms. Sharon L Espersen, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 885 Mission St Se, Salem, OR 97302 Phone: 503-585-5585 Fax: 503-587-7823 |