Diana Marie Everly, | |
144911 Trotter Ct, La Pine, OR 97739-9196 | |
(541) 480-4500 | |
Not Available |
Full Name | Diana Marie Everly |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 144911 Trotter Ct, La Pine, 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 |
---|---|---|---|
1396347035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 202010016NP-PP (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ideal Telemedicine Services Llc | 2860726221 | 65 |
Ideal Option Pllc | 6709013105 | 107 |
Ideal Telemedicine Services Llc | 2860726221 | 65 |
Ideal Option Pllc | 6709013105 | 107 |
Ideal Telemedicine Services Llc | 2860726221 | 65 |
Ideal Option Pllc | 6709013105 | 107 |
Entity Name | Ideal Option Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457788275 PECOS PAC ID: 6709013105 Enrollment ID: O20180104000573 |
Entity Name | Ideal Telemedicine Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346754868 PECOS PAC ID: 2860726221 Enrollment ID: O20190715003330 |
Mailing Address | Practice Location Address |
---|---|
Diana Marie Everly, 144911 Trotter Ct, La Pine, OR 97739-9196 Ph: (541) 480-4500 | Diana Marie Everly, 144911 Trotter Ct, La Pine, OR 97739-9196 Ph: (541) 480-4500 |
Miss Brianne Kanehl, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 51600 Huntington Rd, La Pine, OR 97739 Phone: 541-536-3435 | |
Lynette Victoria Marshall, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 51781 Huntington Rd, La Pine, OR 97739 Phone: 541-907-7040 Fax: 541-907-7059 | |
Janice Cody, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 51600 Huntington Rd, La Pine, OR 97739 Phone: 541-536-3435 | |
Brenda Joyce Molina, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16480 William Foss Rd, La Pine, OR 97739 Phone: 541-536-8012 Fax: 541-536-9873 | |
Mrs. Devon Noelle Varner, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51781 Huntington Rd, La Pine, OR 97739 Phone: 541-907-7040 | |
Alyssa Dukes, APRN,FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 51781 Huntington Rd, La Pine, OR 97739 Phone: 541-907-7040 |