| Fallon N Polich, | |
|
590 Allison St, Ashland, OR 97520-2910 | |
| (406) 868-6458 | |
| Not Available |
| Full Name | Fallon N Polich |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 590 Allison St, Ashland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386311157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 202110122NP-PP (Oregon) | Primary |
| 163W00000X | Registered Nurse | 201909188RN (Oregon) | Secondary |
| Entity Name | Grande Ronde Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20031124000758 |
| Entity Name | Asante |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587107 PECOS PAC ID: 0547177321 Enrollment ID: O20031219000238 |
| 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 |
|---|---|
| Fallon N Polich, 590 Allison St, Ashland, OR 97520-2910 Ph: (406) 868-6458 | Fallon N Polich, 590 Allison St, Ashland, OR 97520-2910 Ph: (406) 868-6458 |
Ms. Kellyn Marshall, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 208 Oak St Ste 208, Ashland, OR 97520 Phone: 541-656-2279 Fax: 541-314-9627 |
Juliana Ayres, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 190 Oak St Apt 4, Ashland, OR 97520 Phone: 541-422-3851 Fax: 541-325-4827 |
Donna M Markle, RN PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Ohsu School Of Nursing, 1250 Siskiyou Blvd, Ashland, OR 97520 Phone: 541-552-6729 Fax: 541-552-6055 |
Dr. Trisha M Vaughn, ND, PMHNP-BC, CNM/NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 149 Clear Creek Dr Unit 108, Ashland, OR 97520 Phone: 303-619-6450 |
Mrs. Barbara Denys Hinds, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 560 Catalina Dr, Ashland, OR 97520 Phone: 541-201-4800 Fax: 541-201-4815 |
Kamara Marie Dodd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 644 Ray Ln, Ashland, OR 97520 Phone: 541-404-4485 Fax: 541-225-4884 |
Ms. Rebecca Suzanne Parker, RN, MN, CNM, FNP. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 796 Oak St, Ashland, OR 97520 Phone: 503-819-3712 Fax: 541-708-0230 |