Jocarol S Driver, | |
2459 Nw Stewart Pkwy, Roseburg, OR 97470-1596 | |
(541) 677-2102 | |
(541) 677-4848 |
Full Name | Jocarol S Driver |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2459 Nw Stewart Pkwy, Roseburg, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1316078009 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 24384 (Oregon) | Primary |
Provider Name | Mercy Medical Center, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1811038367 PECOS PAC ID: 9234047697 Enrollment ID: O20031111000222 |
Mailing Address | Practice Location Address |
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Jocarol S Driver, 1307 Nw Garden St, Roseburg, OR 97470-1829 Ph: (541) 672-7545 | Jocarol S Driver, 2459 Nw Stewart Pkwy, Roseburg, OR 97470-1596 Ph: (541) 677-2102 |
Ms. Virginia Ruth Terry, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1813 W Harvard Ave, Ste 427, Roseburg, OR 97471 Phone: 541-784-5966 | |
Mrs. Allison F Gottfried, RD Dietitian Medicare: Medicare Enrolled Practice Location: 2880 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471 Phone: 541-672-2267 Fax: 541-672-9483 | |
Joseph Albrecht, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-441-1000 | |
Carol Mae Embertson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2459 Nw Stewart Pkwy, Roseburg, OR 97470 Phone: 541-677-2102 Fax: 541-677-4848 | |
Mrs. Dana Ellen Cox, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Nutrition & Food Services, Roseburg, OR 97471 Phone: 541-440-1000 | |
Jill Marie Boyce, RD Dietitian Medicare: Medicare Enrolled Practice Location: 2371 Ne Stephens St, Suite 200, Roseburg, OR 97470 Phone: 541-677-5584 Fax: 541-492-5217 |