Justin P Dennery, NP | |
676 Ne Maple Ave, Redmond, OR 97756-8527 | |
(602) 570-1237 | |
Not Available |
Full Name | Justin P Dennery |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 676 Ne Maple Ave, Redmond, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073068078 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP8638 (Arizona) | Secondary |
363LF0000X | Nurse Practitioner - Family | 202101566 (Oregon) | Primary |
Entity Name | Icco Llc |
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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 |
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Justin P Dennery, NP Po Box 1710, Redmond, OR 97756-0516 Ph: (541) 504-9577 | Justin P Dennery, NP 676 Ne Maple Ave, Redmond, OR 97756-8527 Ph: (602) 570-1237 |
Lorelei Mcmillian, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1245 Nw 4th St Ste 201, Redmond, OR 97756 Phone: 541-323-4545 Fax: 541-323-4546 | |
Laura Jean Cheshire, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 218 Sw 4th St, Redmond, OR 97756 Phone: 541-508-9523 | |
Amy B Mcelroy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Nw 5th St, Suite 101, Redmond, OR 97756 Phone: 541-526-6635 Fax: 541-526-6636 | |
Randi Louise Duble, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 Sw Veterans Way, Redmond, OR 97756 Phone: 541-383-3005 | |
Stephanie Iwalani Dolan, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1314 Sw Kalama Ave, Redmond, OR 97756 Phone: 541-923-5800 Fax: 541-383-1883 | |
Timothy Michael Baumgarte, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Nw Larch Ave, Redmond, OR 97756 Phone: 541-548-2164 |