| Mr Micah Lundstedt, | |
|
2484 River Rd, Suite 230, Eugene, OR 97404-2042 | |
| (541) 222-7650 | |
| Not Available |
| Full Name | Mr Micah Lundstedt |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 2484 River Rd, Eugene, 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 |
|---|---|---|---|
| 1124428032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN.0991347-NP (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 201505351NP-PP (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth Medical Group | 9032023270 | 247 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1902892391 PECOS PAC ID: 1254242357 Enrollment ID: O20030922000023 |
| Entity Name | Peacehealth Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097 |
| Entity Name | Peacehealth Medical Group Cottage Grove |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780631267 PECOS PAC ID: 9436060530 Enrollment ID: O20040616001333 |
| Entity Name | Doctors Emergency Room Corp Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811055437 PECOS PAC ID: 2668467317 Enrollment ID: O20121022000749 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Micah Lundstedt, 2484 River Rd, Eugene, OR 97404-2042 Ph: () - | Mr Micah Lundstedt, 2484 River Rd, Suite 230, Eugene, OR 97404-2042 Ph: (541) 222-7650 |
Dr. Barbara Johnson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 995 Willagillespie Rd # 100, Eugene, OR 97401 Phone: 541-484-5437 | |
Lindsey Wilson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Coburg Rd Ste 201, Eugene, OR 97401 Phone: 541-687-8581 Fax: 541-343-1411 | |
Kennedy Ogbonna Anyanwu, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 66 Club Rd Ste 120, Eugene, OR 97401 Phone: 832-267-6258 | |
Laurie C Carmichael, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Hilyard St, Suite 440, Eugene, OR 97401 Phone: 458-205-6061 Fax: 541-687-6067 | |
Mrs. Christy J. Green, PMHNP-BC; FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1255 Pearl St Ste 102, Eugene, OR 97401 Phone: 541-687-2063 | |
Mrs. Nelda Ogden, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4010 Aerial Way, Eugene, OR 97402 Phone: 541-242-8300 Fax: 541-242-8335 | |
Jonathan Shaw, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1755 Coburg Rd Unit 301, Eugene, OR 97401 Phone: 888-468-9669 Fax: 541-632-4858 |