| Laecey Mae Foster, | |
|
671 Sw Main St, Winston, OR 97496-6571 | |
| (541) 492-4550 | |
| Not Available |
| Full Name | Laecey Mae Foster |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 671 Sw Main St, Winston, 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 |
|---|---|---|---|
| 1649016668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA221667 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Medical Center | Roseburg, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adapt | 4587662887 | 35 |
| Mailing Address | Practice Location Address |
|---|---|
| Laecey Mae Foster, Po Box 1121, Roseburg, OR 97470-0254 Ph: (541) 672-2691 | Laecey Mae Foster, 671 Sw Main St, Winston, OR 97496-6571 Ph: (541) 492-4550 |
Orlando Antonio Morales Guerra, CSFA,CSA,CST Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 615 Se Parkway Dr, Winston, OR 97496 Phone: 541-941-2066 | |
Mr. Jonathan Forrest Russell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 671 Sw Main St, Winston, OR 97496 Phone: 541-492-4550 Fax: 541-679-2005 |