| Kelly Ann Lagervall, ARNP | |
|
539 Us Highway 12, Chehalis, WA 98532-8404 | |
| (253) 350-5339 | |
| Not Available |
| Full Name | Kelly Ann Lagervall |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 539 Us Highway 12, Chehalis, 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 |
|---|---|---|---|
| 1033947643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP61584219 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Heritage Family Medicine | 8628084712 | 4 |
| Entity Name | Heritage Family Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427136977 PECOS PAC ID: 8628084712 Enrollment ID: O20060227000613 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Ann Lagervall, ARNP 539 Us Highway 12, Chehalis, WA 98532-8404 Ph: (253) 350-5339 | Kelly Ann Lagervall, ARNP 539 Us Highway 12, Chehalis, WA 98532-8404 Ph: (253) 350-5339 |
Paulo Vianney Vilela Rodrigues, PHD, MSN, RN, BS. Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1787 Ne Kresky Ave, Chehalis, WA 98532 Phone: 360-506-9212 |
Jennifer O'brien, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2690 Ne Kresky Ave, Chehalis, WA 98532 Phone: 360-330-9595 Fax: 360-330-9560 |
Kalob K Rahn, LPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Se Washington Ave, Chehalis, WA 98532 Phone: 360-748-4776 |
Miss Marles Jean Geist, RN, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Bishop Rd, Chehalis, WA 98532 Phone: 360-345-1381 Fax: 360-345-1382 |
Erin N Chase, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1299 Bishop Rd, Chehalis, WA 98532 Phone: 360-748-0211 Fax: 360-740-4170 |
Linda C Humphrey, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Se Washington Ave, Chehalis, WA 98532 Phone: 360-748-7400 Fax: 360-740-8309 |
Bernice Fomunung, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 375 Sw 11th St, Chehalis, WA 98532 Phone: 564-999-3410 Fax: 360-740-3450 |