Individual ProviderJohn E SchaeferFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address710 Sunset Drive, Suite C, La Grande, OR 97850(541) 963-4139PECOS EnrollmentBased on the most recent information from CMS, provider John E Schaefer does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1821182551Provider TypeIndividualFull NameSchaefer, John ETitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date10/3/2006Last Updated1/2/2008Contact InformationPractice LocationPractice Address710 Sunset Drive, Suite C, La Grande, OR 97850Phone(541) 963-4139Fax(541) 963-4412Mailing LocationMailing Address710 Sunset Drive, Suite C, La Grande, OR 97850Phone(541) 963-4139Fax(541) 963-4412Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseMD19392OregonProvider IdentifiersIDDescriptionIssuerID076752DescriptionMedicaidIssuerUnlistedOregon