Bend Senior Care Management Llc | |
19795 Village Office Ct Bend OR 97702-1922 | |
(541) 782-8377 | |
(541) 833-6416 |
Full Name | Bend Senior Care Management Llc |
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Speciality | Social Worker |
Location | 19795 Village Office Ct, Bend, Oregon |
Authorized Official Name and Position | Jeanne Saxton Merritt (OWNER) |
Authorized Official Contact | 5417828377 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bend Senior Care Management Llc Po Box 1487 Bend OR 97709-1487 Ph: (541) 782-8377 | Bend Senior Care Management Llc 19795 Village Office Ct Bend OR 97702-1922 Ph: (541) 782-8377 |
NPI Number | 1952991507 |
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Provider Enumeration Date | 01/18/2021 |
Last Update Date | 01/18/2021 |
Certification Date | 01/18/2021 |
Medicare PECOS PAC ID | 7214342138 |
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Medicare Enrollment ID | O20210226000352 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952991507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Jeanne Saxton Merritt |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780274324 PECOS PAC ID: 8123433042 Enrollment ID: I20210226000431 |
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