| Johannah Marie Gregg, FNP-C | |
|
280 S 1st Ave, Mill City, OR 97360-2324 | |
| (503) 897-4100 | |
| (503) 897-2673 |
| Full Name | Johannah Marie Gregg |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 280 S 1st Ave, Mill City, Oregon |
| 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 |
|---|---|---|---|
| 1790456895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | NA (Oregon) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 202110588NP-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Visiting Health Services | The dalles, OR | Home health agency |
| Klickitat Valley Hospital | Goldendale, WA | Hospital |
| Mid-columbia Medical Center | The dalles, OR | Hospital |
| Providence Hood River Memorial Hospital | Hood river, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Klickitat County Public Hospital District No 1 | 0648164269 | 30 |
| Entity Name | Klickitat County Public Hospital District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467530915 PECOS PAC ID: 0648164269 Enrollment ID: O20040212000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Johannah Marie Gregg, FNP-C 280 S 1st Ave, Mill City, OR 97360-2324 Ph: (503) 897-4100 | Johannah Marie Gregg, FNP-C 280 S 1st Ave, Mill City, OR 97360-2324 Ph: (503) 897-4100 |
Joseph Peter Lulich, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 280 S 1st Ave, Mill City, OR 97360 Phone: 503-897-4100 Fax: 503-897-2673 | |
Jessica Leigh Grim, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 280 S 1st Ave, Mill City, OR 97360 Phone: 503-897-4100 |