Davina Lynn Bledsoe, FNP-BC | |
1750 Thompson Rd, Coos Bay, OR 97420-2195 | |
(541) 269-0333 | |
Not Available |
Full Name | Davina Lynn Bledsoe |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 1750 Thompson Rd, 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 |
---|---|---|---|
1295245108 | NPI | - | NPPES |
500740413 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ARNP9378600 (Florida) | Secondary |
363L00000X | Nurse Practitioner | 201800261NP-PP (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pacific Home Health And Hospice | Coos bay, OR | Home health agency |
Bay Area Hospital Home Health Agency | North bend, OR | Home health agency |
Pacific Home Health & Hospice | Coos bay, OR | Hospice |
Bay Area Hospital | Coos bay, OR | Hospital |
Curry General Hospital | Gold beach, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bay Clinic | 9638164874 | 19 |
Entity Name | North Bend Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407812365 PECOS PAC ID: 5597677716 Enrollment ID: O20031105000138 |
Entity Name | Bay Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538174958 PECOS PAC ID: 9638164874 Enrollment ID: O20040417000310 |
Entity Name | Frontier Foot And Ankle Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003432204 PECOS PAC ID: 8628494101 Enrollment ID: O20200921002102 |
Mailing Address | Practice Location Address |
---|---|
Davina Lynn Bledsoe, FNP-BC 1750 Thompson Rd, Coos Bay, OR 97420-2100 Ph: (541) 269-0333 | Davina Lynn Bledsoe, FNP-BC 1750 Thompson Rd, Coos Bay, OR 97420-2195 Ph: (541) 269-0333 |