| Kolby Wade, CNM | |
|
1937 W Harvard Ave, Roseburg, OR 97471-2720 | |
| (541) 677-7200 | |
| (541) 229-3309 |
| Full Name | Kolby Wade |
|---|---|
| Gender | Male |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 5 Years |
| Location | 1937 W Harvard Ave, 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 |
|---|---|---|---|
| 1407517931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Medical Center | Roseburg, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centennial Medical Group East Llc | 9234397878 | 61 |
| Entity Name | Centennial Medical Group East Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134436637 PECOS PAC ID: 9234397878 Enrollment ID: O20120228000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Kolby Wade, CNM 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 Ph: (541) 677-7200 | Kolby Wade, CNM 1937 W Harvard Ave, Roseburg, OR 97471-2720 Ph: (541) 677-7200 |
Ms. Karen Ann Beesley, CNM, NP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2993 Ne Douglas Ave, Roseburg, OR 97470 Phone: 541-229-0232 | |
Sarah A. Paeth, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1937 W. Harvard Ave., Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309 | |
Kathryn Lechner, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2460 Nw Stewart Pkwy Ste 240, Roseburg, OR 97471 Phone: 541-677-4427 | |
Stacie L. Hanna, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1937 W Harvard Ave, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309 | |
Stephanie Kendall Wiley, NMNP LAC Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-957-3700 Fax: 541-440-3589 |