SUSAN BASILICATO (NP) – General Practice Registered Nurse, NPI 1265403851
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Provider Addresses for SUSAN BASILICATO (NP)
1208, Beall Lane, Central Point, Jackson County, Oregon, 97502, United States
CENTRAL POINT, OR 975021573
Phone: (541) 664-5151
Type: Mailing
Quail Point Golf Course, 1200, Mira Mar Avenue, Medford, Jackson County, Oregon, 97504, United States
MEDFORD, OR 975048546
Phone: (541) 664-5151
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97502)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | OR | 90670 | Pneumococcal vaccine for injection into muscle | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | OR | |
| - | OR |
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