| Jason Vang-erickson, RN-BSN, PP-NP | |
|
35859 Highway 58, Pleasant Hill, OR 97455-9651 | |
| (541) 767-5200 | |
| (541) 937-1370 |
| Full Name | Jason Vang-erickson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 35859 Highway 58, Pleasant Hill, 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 |
|---|---|---|---|
| 1144780255 | NPI | - | NPPES |
| 500772427 | Medicaid | OR |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peacehealth Cottage Grove Community Medical Center | Cottage grove, OR | Hospital |
| Sky Lakes Medical Center | Klamath falls, OR | Hospital |
| Sacred Heart Medical Center - Riverbend | Springfield, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth Medical Group Cottage Grove | 9436060530 | 8 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1902892391 PECOS PAC ID: 1254242357 Enrollment ID: O20030922000023 |
| Entity Name | Sky Lakes Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659340370 PECOS PAC ID: 1052204096 Enrollment ID: O20040204000577 |
| Entity Name | Peacehealth Medical Group Cottage Grove |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780631267 PECOS PAC ID: 9436060530 Enrollment ID: O20040616001333 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Vang-erickson, RN-BSN, PP-NP 2925 Chicago Avenue, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Jason Vang-erickson, RN-BSN, PP-NP 35859 Highway 58, Pleasant Hill, OR 97455-9651 Ph: (541) 767-5200 |
Ms. Mary L Fey, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35859 Highway 58, Pleasant Hill, OR 97455 Phone: 541-767-5200 Fax: 541-937-1370 | |
Ms. Susan Cox Hammond, RN/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 85226 Marriott Ln, Pleasant Hill, OR 97455 Phone: 541-741-4181 Fax: 541-741-6838 | |
Ms. Julie Bryce Willardson, DNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 83960 Spring Hill Ln, Pleasant Hill, OR 97455 Phone: 541-819-0575 |