Individual provider Active NPI

Leslie Werschkul McStravick, PA-C

  • Physician Assistant
  • Eugene, OR
National Provider Identifier
1851305791
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00974 Issued in OR
Practice address
743 Country Club Rd
Eugene, OR 97401-6019
Phone
(541) 681-5090
Fax
(541) 683-5206
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00974 OR Primary

Addresses

Primary practice location

743 Country Club Rd
Eugene, OR 97401-6019

Mailing address

743 Country Club Rd
Dermatology
Eugene, OR 97401-6019
Phone (541) 681-5090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040827000923 OR Practitioner - Physician Assistant 2163497710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cynthia a Dreyer MD PCGroup PAC ID 5698749687, 3 clinicians

Practice addresses (Care Compare)

743 Country Club Rd
Eugene, OR 97401-6019
Phone (541) 683-0878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dreyer Dermatology Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1851305791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 COUNTRY CLUB RD",
            "address_2": "DERMATOLOGY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016019",
            "telephone_number": "541-681-5090",
            "fax_number": "541-683-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 COUNTRY CLUB RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016019",
            "telephone_number": "541-681-5090",
            "fax_number": "541-683-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSTRAVICK",
        "first_name": "LESLIE",
        "middle_name": "WERSCHKUL",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA00974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.