Ms Denise E Stuntzner, LCSW | |
1900 Woodland Dr, Coos Bay, OR 97420-2045 | |
(541) 267-5151 | |
Not Available |
Full Name | Ms Denise E Stuntzner |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 34 Years |
Location | 1900 Woodland Dr, Coos Bay, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245271246 | NPI | - | NPPES |
93-0635514 | Other | OR | NORTH BEND MEDICAL CENTER GROUP TAX ID |
161133 | Other | OR | NORTH BEND MEDICAL CENTER GROUP MEDICAID |
R0000WFBTV | Other | OR | NORTH BEND MEDICAL CENTER GROUP MEDICARE |
1407812365 | Other | OR | NORTH BEND MEDICAL CENTER GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L3811 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Coastal Center, Llc. | 8426046707 | 2 |
Entity Name | Coastal Center, Llc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538278536 PECOS PAC ID: 8426046707 Enrollment ID: O20040505000154 |
Mailing Address | Practice Location Address |
---|---|
Ms Denise E Stuntzner, LCSW 125 Central Ave, Ste 290, Coos Bay, OR 97420-2342 Ph: (541) 267-5151 | Ms Denise E Stuntzner, LCSW 1900 Woodland Dr, Coos Bay, OR 97420-2045 Ph: (541) 267-5151 |
Ms. Toni Wyatt-kirkeby, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1620 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-2986 Fax: 541-266-8640 | |
Mr. Jeffrey G. Friedman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1610 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-2986 Fax: 541-269-7987 | |
Kellilynn Bosak, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4554 | |
Candace Nicole Wallis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 125 Central Ave Ste 290, Coos Bay, OR 97420 Phone: 541-267-2113 | |
Carol J. Embury, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1610 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-2986 Fax: 541-269-7987 | |
Mr. Richard L Bossardt, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2085 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-5333 Fax: 541-269-5609 |