Trisha Gederos, LCSW | |
1750 Thompson Rd, Coos Bay, OR 97420-2195 | |
(541) 269-0333 | |
Not Available |
Full Name | Trisha Gederos |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1750 Thompson Rd, Coos Bay, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508490400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L10811 (Oregon) | Primary |
Entity Name | Bay Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538174958 PECOS PAC ID: 9638164874 Enrollment ID: O20040417000310 |
Mailing Address | Practice Location Address |
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Trisha Gederos, LCSW 1750 Thompson Rd, Coos Bay, OR 97420-2195 Ph: () - | Trisha Gederos, LCSW 1750 Thompson Rd, Coos Bay, OR 97420-2195 Ph: (541) 269-0333 |
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 | |
Ms. Denise E. Stuntzner, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 | |
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 |