| James William Southam, NP-C, FNP | |
|
1740 Nw Goetz St, Roseburg, OR 97471-1613 | |
| (541) 640-7625 | |
| Not Available |
| Full Name | James William Southam |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1740 Nw Goetz St, Roseburg, 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 |
|---|---|---|---|
| 1598301582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 201906644NP-PP (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Icco Llc | 1355406729 | 99 |
| 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 |
|---|---|
| James William Southam, NP-C, FNP 1292 High St Ste 224, Eugene, OR 97401-3238 Ph: (541) 500-2500 | James William Southam, NP-C, FNP 1740 Nw Goetz St, Roseburg, OR 97471-1613 Ph: (541) 640-7625 |
Ms. Jo Ann G. Berenbach, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Building 2 Mhc, Roseburg, OR 97470 Phone: 541-440-1000 Fax: 541-440-1356 | |
Charlene Davis, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309 | |
Robin Rae Horton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Ne Kenneth Ford Dr, Roseburg, OR 97470 Phone: 541-672-9596 Fax: 541-464-3519 | |
Sunny L May, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2460 Nw Stewart Pkwy, Suite 240, Roseburg, OR 97471 Phone: 541-677-4427 Fax: 541-677-6522 | |
Mr. Donald L Bons, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 W Umpqua St, Roseburg, OR 97471 Phone: 541-464-7100 | |
Morgan Michelle Petersen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 427 W Carroll Ct, Roseburg, OR 97471 Phone: 541-580-7378 | |
Susan Carol Hibbs, PMHNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-672-2691 |