| Hyeran Scarlet Lee, | |
|
3425 Se 192nd Ave Ste 106, Vancouver, WA 98683-1440 | |
| (360) 205-2960 | |
| Not Available |
| Full Name | Hyeran Scarlet Lee |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 3425 Se 192nd Ave Ste 106, Vancouver, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306210760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 10020578 (Oregon) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 10020578 (Washington) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Clinics Llc | 0244144004 | 714 |
| Legacy Clinics Llc | 0244144004 | 714 |
| Entity Name | Legacy Clinics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Hyeran Scarlet Lee, 4500 Se Columbia Palisades Dr, Camas, WA 98607-8444 Ph: Not Available | Hyeran Scarlet Lee, 3425 Se 192nd Ave Ste 106, Vancouver, WA 98683-1440 Ph: (360) 205-2960 |
John Johnson, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 E Evergreen Blvd Ste 217, Vancouver, WA 98660 Phone: 509-596-1138 Fax: 971-308-7811 |
Mackenzie Rhoades, APRN-CNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Ne Mother Joseph Pl, Vancouver, WA 98664 Phone: 360-256-2000 Fax: 360-514-2458 |
Uma Gurung, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Ne Mother Joseph Pl Ste 400, Vancouver, WA 98664 Phone: 360-514-4444 Fax: 360-514-6530 |
Mrs. Tracy Lynn Clason, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 Se 124th Ave, Suite 22, Vancouver, WA 98684 Phone: 360-882-7603 Fax: 360-896-0337 |
Ms. Mary Louise Kroske, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10500 Ne 86th St, Vancouver, WA 98662 Phone: 425-359-6706 Fax: 369-604-6777 |
Julie Ann Thompson, FNP-C. PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1601 E 4th Plain Blvd Bldg 11, Vancouver, WA 98661 Phone: 360-696-4061 |
Shannon Kristine Urban, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16811 Se Mcgillivray Blvd, Vancouver, WA 98683 Phone: 360-735-8100 |