| Ernest Eugene Lissy, FNP | |
|
1375 N 10th Ave, Stayton, OR 97383-2099 | |
| (503) 769-2641 | |
| (503) 769-3797 |
| Full Name | Ernest Eugene Lissy |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 1375 N 10th Ave, Stayton, 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 |
|---|---|---|---|
| 1013998475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 200450135NP FNP-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Signature Healthcare At Home | Tigard, OR | Home health agency |
| Salem Hospital | Salem, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Daiya Healthcare Pllc | 6002158615 | 52 |
| Entity Name | Daiya Healthcare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477027381 PECOS PAC ID: 6002158615 Enrollment ID: O20200309000992 |
| Mailing Address | Practice Location Address |
|---|---|
| Ernest Eugene Lissy, FNP 1375 N 10th Ave, Stayton, OR 97383-2099 Ph: (503) 769-2641 | Ernest Eugene Lissy, FNP 1375 N 10th Ave, Stayton, OR 97383-2099 Ph: (503) 769-2641 |
Elizabeth Apollo-loomis, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 N 10th Ave, Stayton, OR 97383 Phone: 503-769-9307 | |
Takahla Circle, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave, Stayton, OR 97383 Phone: 541-852-2746 | |
Amanda Gildersleeve, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 N 1st Ave, Stayton, OR 97383 Phone: 503-767-3226 | |
Mrs. Julia Rose Koos, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41805 Stayton Scio Rd Se, Stayton, OR 97383 Phone: 503-507-5356 Fax: 866-225-2708 | |
Jennifer Rae Muller, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1375 N 10th Ave, Stayton, OR 97383 Phone: 503-769-2641 | |
Mrs. Luanna Lee Dishon, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41805 Stayton Scio Rd Se, Stayton, OR 97383 Phone: 503-507-5356 |