Dr Jenna Marie Thiele, DO | |
384 Se Combs Flat Rd Ste 1200, Prineville, OR 97754-2562 | |
(541) 447-6263 | |
(541) 447-8724 |
Full Name | Dr Jenna Marie Thiele |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 7 Years |
Location | 384 Se Combs Flat Rd Ste 1200, Prineville, 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 |
---|---|---|---|
1710407275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 11019602A (Indiana) | Secondary |
207Q00000X | Family Medicine | 02005458A (Indiana) | Secondary |
207Q00000X | Family Medicine | DO198748 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Charles Home Health Services | Bend, OR | Home health agency |
St Charles Prineville | Prineville, OR | Hospital |
St Charles Medical Center - Bend | Bend, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Charles Health System Inc | 3870402852 | 148 |
Entity Name | St Charles Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982621447 PECOS PAC ID: 3870402852 Enrollment ID: O20040112000045 |
Mailing Address | Practice Location Address |
---|---|
Dr Jenna Marie Thiele, DO 384 Se Combs Flat Rd Ste 1200, Prineville, OR 97754-2562 Ph: (541) 447-6263 | Dr Jenna Marie Thiele, DO 384 Se Combs Flat Rd Ste 1200, Prineville, OR 97754-2562 Ph: (541) 447-6263 |
Dr. Anh Nguyen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 384 Se Combs Flat Rd, Prineville, OR 97754 Phone: 541-447-6254 | |
Mark Thibert, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 375 Nw Beaver St Ste 101, Prineville, OR 97754 Phone: 541-383-3005 Fax: 541-383-1883 | |
Christopher Brubaker, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 384 Se Combs Flat Rd Ste 1200, Prineville, OR 97754 Phone: 541-447-6263 Fax: 541-447-8724 | |
Laura Danielle Gratton, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 975 Nw Beaver Street, Prineville, OR 97754 Phone: 541-447-0707 Fax: 541-447-0708 | |
Dr. Matthew Stephen Giordanengo, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 384 Se Combs Flat Rd Ste 1200, Prineville, OR 97754 Phone: 541-447-6263 Fax: 541-447-8724 | |
Maggie J King, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 384 Se Combs Flat Rd Ste 1200, Prineville, OR 97754 Phone: 541-447-6263 Fax: 541-447-8475 | |
Natalie Trent Good, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 384 Se Combs Flat Rd, Prineville, OR 97754 Phone: 541-447-6263 Fax: 541-447-8724 |