Marlene Dabestan, NP | |
296 S Pacific Hwy, Talent, OR 97540-6649 | |
(541) 646-9928 | |
Not Available |
Full Name | Marlene Dabestan |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 296 S Pacific Hwy, Talent, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831828474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95021112 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 202210327NP-PP (Oregon) | Primary |
Entity Name | Nisha Jackson Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124499124 PECOS PAC ID: 6305147745 Enrollment ID: O20151209000878 |
Mailing Address | Practice Location Address |
---|---|
Marlene Dabestan, NP 3265 Hillcrest Park Dr, Medford, OR 97504-7657 Ph: (541) 646-9928 | Marlene Dabestan, NP 296 S Pacific Hwy, Talent, OR 97540-6649 Ph: (541) 646-9928 |
Sarah Am Kalina, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 296 S Pacific Hwy, Talent, OR 97540 Phone: 416-469-9285 Fax: 416-159-3085 | |
Roberta A Kaiser, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 E Main St, Talent, OR 97540 Phone: 541-535-9108 | |
Mrs. Ute Frommer Sherbow, CNM NP MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 312 East Main Street, Talent, OR 97540 Phone: 541-535-9108 Fax: 541-535-8809 | |
Georgette L Nadeau, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 296 S Pacific Hwy, Talent, OR 97540 Phone: 541-646-1066 Fax: 541-615-9308 | |
Stephen P Joslin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 East Main Street, Talent, OR 97540 Phone: 541-535-9108 |