Shannon Kathleen Pugerude, MS, QMHP is a
Peer Specialist based in Bend, Oregon. Shannon Kathleen Pugerude is licensed to practice in * (Not Available) (license number ) and her current practice location is
1195 Nw Wall St, Bend, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 728-0062.
NPI number for Shannon Kathleen Pugerude is 1528597382 and her current mailing address is 3995 Marcola Rd, Springfield, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528597382.
Healthcare Provider's Profile
| Full Name | Shannon Kathleen Pugerude |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 1195 Nw Wall St, Bend, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1528597382
- Provider Enumeration Date: 06/06/2017
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Shannon Kathleen Pugerude such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528597382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Kathleen Pugerude is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shannon Kathleen Pugerude, MS, QMHP
3995 Marcola Rd,
Springfield, OR 97477-7948
Ph: (541) 726-1465 | Shannon Kathleen Pugerude, MS, QMHP
1195 Nw Wall St,
Bend, OR 97703-1965
Ph: (541) 728-0062 |
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