Dr Audrey Chapin Shank, MD | |
620 Ranch Rd, Reedsport, OR 97467-1720 | |
(541) 271-2163 | |
(541) 271-4058 |
Full Name | Dr Audrey Chapin Shank |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 620 Ranch Rd, Reedsport, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912201062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 227422 (New York) | Secondary |
207Q00000X | Family Medicine | MD153148 (Oregon) | Primary |
Entity Name | North Bend Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407812365 PECOS PAC ID: 5597677716 Enrollment ID: O20031105000138 |
Entity Name | Peacehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982774378 PECOS PAC ID: 4587573001 Enrollment ID: O20031215000598 |
Entity Name | Peacehealth |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1578552402 PECOS PAC ID: 4587573001 Enrollment ID: O20061104000179 |
Mailing Address | Practice Location Address |
---|---|
Dr Audrey Chapin Shank, MD 600 Ranch Rd, Reedsport, OR 97467-1795 Ph: (541) 271-2171 | Dr Audrey Chapin Shank, MD 620 Ranch Rd, Reedsport, OR 97467-1720 Ph: (541) 271-2163 |
Dale E Harris, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 620 Ranch Road, Reedsport, OR 97467 Phone: 541-271-2163 Fax: 541-271-4058 | |
Robert D Law, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 620 Ranch Road, Reedsport, OR 97467 Phone: 541-271-2163 Fax: 541-271-4058 | |
Ronald E Vail, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 620 Ranch Rd, Reedsport, OR 97467 Phone: 541-271-2163 Fax: 541-271-4058 | |
Michelle Petrofes, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 620 Ranch Rd, Reedsport, OR 97467 Phone: 541-271-2163 Fax: 541-271-4058 | |
Jason Sargent, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 Ranch Rd, Reedsport, OR 97467 Phone: 541-271-2163 |