Lydia Ann Fusetti

MD | Pediatrics | Female

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Complete Profile:

Lydia Ann Fusetti basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Lydia Ann Fusetti
Credential :	MD
Gender :	Female
Sole Proprietor :	Yes

Business Address:

Lydia Ann Fusetti address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3600 Nw Samaritan Dr Corvallis, OR, 97330-3737 United States
Phone Number :	541-768-5111

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1871508374
NPI Entity Type :	Individual
First Enrolment Date :	31 Jul, 2006
Last Updated On :	17 Nov, 2021

Medicare Participation:

Lydia Ann Fusetti participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0547321861
Medicare Enrollment ID :	I20081205000049
Primary Specialty :	Pediatric Medicine
Medical School :	Pennsylvania State University College Of Medicine
Graduation Year :	1977
Accepts Medicare?	Yes. Lydia Ann Fusetti accepts medicare insurance.

Group Practice Association:

Lydia Ann Fusetti is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Lydia Ann Fusetti is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Oregon Health And Sciences University/university Medical Group	4880760107	1435	901 E 18th Ave Eugene, OR - 974031354 Ph: 5413463575	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lydia Ann Fusetti are as mentioned. Primary taxonomy code for Lydia Ann Fusetti, MD is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	Yes	MD12443	OR

Legacy Identifiers:

Other legacy medical identifiers of Lydia Ann Fusetti such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
268359	MEDICAID	OR

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 1189 Corvallis, OR, 97339-1189 United States

Business Location:

Patients can refer following map for directions to Lydia Ann Fusetti practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.