| Mr Korey Vance Ham, MN, FNP-C, APRN | |
|
1705 Main St Apt 801, Baker City, OR 97814-3468 | |
| (541) 403-1132 | |
| Not Available |
| Full Name | Mr Korey Vance Ham |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 1705 Main St Apt 801, Baker City, 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 |
|---|---|---|---|
| 1285153932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 201707560NP-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Health Home Health | Island city, OR | Home health agency |
| St Luke's Regional Medical Center | Boise, ID | Hospital |
| St. Alphonsus Medical Center - Baker City | Baker city, OR | Hospital |
| Saint Alphonsus Medical Center - Ontario, Inc | Ontario, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Lukes Clinic-treasure Valley Llc | 4981878402 | 1062 |
| Entity Name | Pine Eagle Health Planning Committee |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922102128 PECOS PAC ID: 8729075346 Enrollment ID: O20040427000610 |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20120420000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Korey Vance Ham, MN, FNP-C, APRN 1705 Main St Apt 801, Baker City, OR 97814-3468 Ph: (541) 403-1132 | Mr Korey Vance Ham, MN, FNP-C, APRN 1705 Main St Apt 801, Baker City, OR 97814-3468 Ph: (541) 403-1132 |
Colleen Bettilyen Davenport, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3425 13th St, Baker City, OR 97814 Phone: 541-523-7400 Fax: 253-584-1508 | |
Debbra Lynn Forrester, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 218 N Pine Street, Baker City, OR 97814 Phone: 541-742-5023 Fax: 541-742-7210 | |
Mari Patricia Dominguez, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3425 13th St, Baker City, OR 97814 Phone: 541-523-7400 Fax: 541-523-4927 | |
Mrs. Deborah J Vencill, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3950 17th St, Suite A, Baker City, OR 97814 Phone: 541-523-1001 | |
Karen C Andruss, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3950 17th St, Suite A, Baker City, OR 97814 Phone: 541-523-1001 Fax: 541-523-1152 | |
Kara J Del Curto, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2239 11th St, Baker City, OR 97814 Phone: 541-239-5261 Fax: 541-239-5262 |