Theresa M Lundy (NPI# 1578654661, PAC ID# 7113043985) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1578654661 |
| PAC ID by PECOS | 7113043985 |
| Professional Enrollment ID | I20170518002218 |
| Full Name | Theresa M Lundy |
| Organization Legal Name | ADAPT |
| Address |
671 Sw Main St Winston OR 97496-6571 |
| Phone Number | 5414924550 |
| Gender | F |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4587662887 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 671 Sw Main St, Winston, OR 97496-6571 | 5414924550 | ADAPT |
| Organization Legal Name | ADAPT |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Johnson | Clinical Social Worker | Adapt | 621 W Madrone St, Roseburg, OR 97470-3090 |
| Suzanne R Dudek | Nurse Practitioner | Adapt | 671 Sw Main St, Winston, OR 97496-6571 |
| Jonathan F Russell | Physician Assistant | Adapt | 548 Se Jackson St, Roseburg, OR 97470-4983 |
| John W Collins | Psychiatry | Adapt | 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470-3655 |
| Carlynn M Mcinerny | Nurse Practitioner | Adapt | 621 W Madrone St, Roseburg, OR 97470-3090 |
| Kindall S Baker | Clinical Social Worker | Adapt | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 |
| Meredith Ann Concepcion | Clinical Social Worker | Adapt | 621 W Madrone St, Roseburg, OR 97470-3090 |
| Marcy Ellen Dean | Nurse Practitioner | Adapt | 621 W Madrone St, Roseburg, OR 97470-3090 |
| Michael C Mcnamara | Nurse Practitioner | Adapt | 621 W Madrone St, Roseburg, OR 97470-3090 |
| Wendelyn K Seal | Clinical Social Worker | Adapt | 671 Sw Main St, Winston, OR 97496-6571 |
| Street Address |
671 SW MAIN ST |
| City | WINSTON |
| State | OR |
| Zip | 97496-6571 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne R Dudek | Nurse Practitioner | Adapt | 671 Sw Main St, Winston, OR 97496-6571 |
| Wendelyn K Seal | Clinical Social Worker | Adapt | 671 Sw Main St, Winston, OR 97496-6571 |
| Laurance W Choate | General Practice | Adapt | 671 Sw Main St, Winston, OR 97496-6571 |
| Curtis R Allen | Family Practice | Adapt | 671 Sw Main St, Winston, OR 97496-0012 |
| Natalie A Jones | Nurse Practitioner | Adapt | 671 Sw Main St, Winston, OR 97496-0012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane C Rose | Clinical Social Worker | 11 Sw Brantley Dr, Winston, OR 97496-4526 | |
| Tamara R Lee | Nurse Practitioner | 11 Sw Brantley Dr, Winston, OR 97496-4526 |
| City | WINSTON |
| Zip Code | 97496 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WINSTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Theresa M Lundy.
| 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.