| Jaclyn Rochefort, | |
|
1046 6th Ave Sw, Albany, OR 97321-1916 | |
| (541) 812-4000 | |
| Not Available |
| Full Name | Jaclyn Rochefort |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1046 6th Ave Sw, Albany, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184269243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704326890 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 10000196 (Oregon) | Primary |
| Entity Name | Emerald Valley Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679355820 PECOS PAC ID: 8729437199 Enrollment ID: O20231211001129 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Rochefort, Po Box 1188, Corvallis, OR 97339-1188 Ph: () - | Jaclyn Rochefort, 1046 6th Ave Sw, Albany, OR 97321-1916 Ph: (541) 812-4000 |
Mr. Alexander Samuel Whidden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 | |
Tyson Flohr, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 | |
John Allen Oaks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 | |
Michael E Emery, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-926-9611 | |
Mr. Joshua S Morrow, DNAP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 | |
Jessica Rae Slaght-langworthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 |