Mikala L Saccoman (NPI# 1396014759, PAC ID# 3779733910) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
Nation Provider ID (NPI) | 1396014759 |
PAC ID by PECOS | 3779733910 |
Professional Enrollment ID | I20121023000824 |
Full Name | Mikala L Saccoman |
Address |
497 Sw Century Dr Suite 104 Bend OR 97702-1167 |
Phone Number | 5416785174 |
Gender | F |
Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
Graduation Year | 2011 |
Primary Specialty | CLINICAL PSYCHOLOGIST |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
497 Sw Century Dr, Suite 104, Bend, OR 97702-1167 | 5416785174 |
Street Address |
497 SW CENTURY DR SUITE 104 |
City | BEND |
State | OR |
Zip | 97702-1167 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robin K Vickery | Clinical Social Worker | 497 Sw Century Dr, Suite B, Bend, OR 97702-1167 | |
Leah B Schock | Psychologist, Clinical | 497 Sw Century Dr, Suite 104, Bend, OR 97702-1167 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ray J Gertler | Psychologist, Clinical | 1012 Sw Emkay Dr, Bend, OR 97702-1010 | |
Alan Werkman | Clinical Social Worker | 1012 Sw Emkay Dr, Bend, OR 97702-1010 | |
David J Goldstein | Psychologist, Clinical | 1012 Sw Emkay Dr, Bend, OR 97702-1010 | |
Ellen M Eisman | Psychologist, Clinical | 1012 Sw Emkay Dr, Bend, OR 97702-1010 | |
Judith A Clements | Clinical Psychologist | 1012 Sw Emkay Dr, Bend, OR 97702-1010 | |
Travis A Sammon | Clinical Social Worker | 15 Sw Colorado Ave, Suite 350, Bend, OR 97702-1130 | |
Anne Van Dusen | Clinical Social Worker | 15 Sw Colorado Ave, Suite 350, Bend, OR 97702-1130 | |
Jillian Sammon | Clinical Social Worker | 15 Sw Colorado Ave, 350 Life Balance Bend LLC, Bend, OR 97702-1130 | |
Emmy W Lawrason-kobobel | Osteopathic Manipulative Medicine | Bend Osteopathic Care PC | 147 Sw Shevlin Hixon Dr, Bend, OR 97702-1137 |
Gary L Gallagher | Plastic and Reconstructive Surgery | 777 Sw Mill View Way, Suite 100, Bend, OR 97702-1140 | |
Find all physicians in zip 97702 |
City | BEND |
Zip Code | 97702 |
Specialty | CLINICAL PSYCHOLOGIST |
City + Specialty | BEND + CLINICAL PSYCHOLOGIST |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.