Mark L Van Over, FNP in Coos Bay, OR - Medicare Nurse Practitioner

Mark L Van Over, FNP is a medicare enrolled "Nurse Practitioner - Family" in Coos Bay, Oregon. He graduated from nursing school in 2007 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Icco Llc and his current practice location is 1900 Woodland Dr, Coos Bay, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 267-5151.

Mark L Van Over is licensed to practice in Oregon (license number 201500476NP-PP) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306015417.

Contact Information

	Mark L Van Over, FNP
	1900 Woodland Dr, Coos Bay, OR 97420-2045
	(541) 267-5151
	(541) 266-4589

Map and Direction

Provider's Profile

Full Name	Mark L Van Over
Gender	Male
Speciality	Nurse Practitioner
Experience	18 Years
Location	1900 Woodland Dr, Coos Bay, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark L Van Over graduated from nursing school in 2007

NPI Data:

NPI Number: 1306015417
Provider Enumeration Date: 02/22/2008
Last Update Date: 09/22/2016

Medicare PECOS Information:

PECOS PAC ID: 4587732938
Enrollment ID: I20160909001047

Medical Identifiers

Medical identifiers for Mark L Van Over such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306015417	NPI	-	NPPES
1407812365	Other	OR	NORTH BEND MEDICAL CENTER GROUP NPI
500712548	Medicaid	OR
R0000WFBTV	Other	OR	NORTH BEND MEDICAL CENTER GROUP MEDICARE
161133	Other	OR	NORTH BEND MEDICAL CENTER GROUP MEDICAID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP 17478 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	201500476NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bay Area Hospital	Coos bay, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Icco Llc	1355406729	105

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mark L Van Over allows following entities to bill medicare on his behalf.

Entity Name	North Bend Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407812365 PECOS PAC ID: 5597677716 Enrollment ID: O20031105000138

Entity Name	Icco Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark L Van Over is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mark L Van Over, FNP 1900 Woodland Dr, Coos Bay, OR 97420-2045 Ph: (541) 267-5151	Mark L Van Over, FNP 1900 Woodland Dr, Coos Bay, OR 97420-2045 Ph: (541) 267-5151

Reviews and Comments

Nurse Practitioner Nurses in Coos Bay, OR

Jenny V Tausch, APRN PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Central Ave Ste 212, Coos Bay, OR 97420 Phone: 401-217-9333 Fax: 541-543-2470
Mrs. Regina M Ardiana, FNPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8111 Fax: 541-269-8469
Angela Renee York, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151
Mrs. Shirley Deveere Reynolds, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 998 Inlet Loop, Coos Bay, OR 97420 Phone: 773-996-0242
Mitaliben Rajendrakumar Gor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151
Shelly Prather, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151
Diane H Todd, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4578

Mark L Van Over, FNP - Medicare Nurse Practitioner in Coos Bay, OR