Genevieve Murstig, | |
1515 Village Dr, Cottage Grove, OR 97424-9700 | |
(541) 767-5311 | |
Not Available |
Full Name | Genevieve Murstig |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 1515 Village Dr, Cottage Grove, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285245696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Peacehealth Medical Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097 |
Provider Name | Peacehealth Medical Group Cottage Grove |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780631267 PECOS PAC ID: 9436060530 Enrollment ID: O20040616001333 |
Mailing Address | Practice Location Address |
---|---|
Genevieve Murstig, 14956 Coquille Ct, Oregon City, OR 97045-8049 Ph: (503) 927-5354 | Genevieve Murstig, 1515 Village Dr, Cottage Grove, OR 97424-9700 Ph: (541) 767-5311 |
Heather Marie Weir, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-942-6610 | |
Tammy Wiscovitch, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-767-5311 |