| Dr Stacy E Iles, DPM | |
|
710 Sunset Dr Ste F, La Grande, OR 97850-1200 | |
| (541) 663-3100 | |
| (541) 975-5135 |
| Full Name | Dr Stacy E Iles |
|---|---|
| Gender | Female |
| Speciality | Podiatry |
| Experience | 14 Years |
| Location | 710 Sunset Dr Ste F, La Grande, 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 |
|---|---|---|---|
| 1811257165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 25MD00327200 (New Jersey) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DP186880 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vp Foot And Ankle Inc | 5597079509 | 4 |
| Provider Name | Vp Foot And Ankle Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194109314 PECOS PAC ID: 5597079509 Enrollment ID: O20150805006471 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stacy E Iles, DPM Po Box 3290, La Grande, OR 97850-7290 Ph: (541) 663-3100 | Dr Stacy E Iles, DPM 710 Sunset Dr Ste F, La Grande, OR 97850-1200 Ph: (541) 663-3100 |
Andrew Dale Baum, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 710 Sunset Dr Ste F, La Grande, OR 97850 Phone: 541-663-3100 Fax: 541-975-5135 | |
Travis Theron Hampton, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1408 N Hall St, La Grande, OR 97850 Phone: 541-963-0265 Fax: 541-963-6176 | |
Stacey J. Clarke Dpm, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1408 N Hall St, La Grande, OR 97850 Phone: 541-963-0265 Fax: 541-963-6176 |