| Lacey Wickersham, APRN | |
|
896 Fortner St, Ontario, OR 97914-1787 | |
| (541) 881-2828 | |
| Not Available |
| Full Name | Lacey Wickersham |
|---|---|
| Gender | |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 896 Fortner St, Ontario, Oregon |
| Accepts Medicare Assignments | Yes. accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710716824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 10026939 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Family Health Care Inc | 0547169591 | 42 |
| Valley Family Health Care Inc | 0547169591 | 42 |
| Entity Name | Valley Family Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295415032 PECOS PAC ID: 0547169591 Enrollment ID: O20040305000532 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Wickersham, APRN 1441 Ne 10th Ave, Payette, ID 83661-5420 Ph: (541) 881-2828 | Lacey Wickersham, APRN 896 Fortner St, Ontario, OR 97914-1787 Ph: (541) 881-2828 |
Halle Stutting, DNP, PNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 840 Sw 4th Ave Ste 105, Ontario, OR 97914 Phone: 541-881-2800 | |
Melissa D. Akin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 932 W Idaho Ave, Ste 100, Ontario, OR 97914 Phone: 541-889-2244 | |
Mrs. Lindsay Wood, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1219 Sw 4th Ave Unit 1, Ontario, OR 97914 Phone: 541-709-4008 Fax: 541-920-0054 | |
Patsy Looney, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7 Sw 3rd St, Ontario, OR 97914 Phone: 541-889-2340 Fax: 541-889-2593 | |
Amber Mechelle Berger, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2327 Sw 4th Ave, Ontario, OR 97914 Phone: 541-889-2340 Fax: 541-889-2593 | |
Karmin Renae Maher-hasse, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 Sw 3rd Ave Ste 3200, Ontario, OR 97914 Phone: 208-302-0000 Fax: 208-302-0000 | |
Tami Beth Lamb, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 Stanton Blvd, Ontario, OR 97914 Phone: 541-881-5000 |