| Derek Scott Knoke, FNP | |
|
2546 Ne Conners Ave Ste 210, Bend, OR 97701-6761 | |
| (541) 508-4858 | |
| Not Available |
| Full Name | Derek Scott Knoke |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 2546 Ne Conners Ave Ste 210, Bend, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811754351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APN.0999088-NP (Colorado) | Primary |
| Entity Name | Icco Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Scott Knoke, FNP 260 Gettysburg St, Grand Junction, CO 81503-7700 Ph: () - | Derek Scott Knoke, FNP 2546 Ne Conners Ave Ste 210, Bend, OR 97701-6761 Ph: (541) 508-4858 |
Mr. Nicholas J Campo Iii, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 233 Sw Wilson Ave Ste 201, Bend, OR 97702 Phone: 541-382-8862 Fax: 541-382-8928 | |
Elaine Michele Brown, RN ARNP PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2100 Ne Neff Rd Ste B, Bend, OR 97701 Phone: 541-647-2132 Fax: 541-728-0109 | |
Jonathan Andrew Mcfadyen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-2811 | |
Molly K Torvik, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2195 Ne Professional Ct Ste 1, Bend, OR 97701 Phone: 541-322-9396 | |
Jennifer Nicole Herr, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-4900 | |
Samantha Mullis, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 Fax: 541-706-7068 | |
Ms. Jordan Meier, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1345 Nw Wall St Ste 202, Bend, OR 97703 Phone: 541-204-2021 Fax: 541-325-4011 |