Mary Lou Freitag, | |
324 4th St, Myrtle Point, OR 97458-1074 | |
(541) 572-2111 | |
Not Available |
Full Name | Mary Lou Freitag |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 324 4th St, Myrtle Point, 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 |
---|---|---|---|
1962090621 | NPI | - | NPPES |
500789478 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 202010537NP-PP (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Pacific Home Health And Hospice | Coos bay, OR | Home health agency |
Bay Area Hospital | Coos bay, OR | Hospital |
Southern Coos Hospital & Health Center | Bandon, OR | Hospital |
Lower Umpqua Hospital District | Reedsport, OR | Hospital |
Coquille Valley Hospital District | Coquille, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Bend Medical Center Inc | 5597677716 | 79 |
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 | Gaps Health Or Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285279042 PECOS PAC ID: 2264868546 Enrollment ID: O20200204003064 |
Mailing Address | Practice Location Address |
---|---|
Mary Lou Freitag, 1900 Woodland Dr, Coos Bay, OR 97420-2099 Ph: (541) 267-5151 | Mary Lou Freitag, 324 4th St, Myrtle Point, OR 97458-1074 Ph: (541) 572-2111 |
Mrs. Ana Marie Ferguson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 324 4th St, Myrtle Point, OR 97458 Phone: 541-572-2111 Fax: 541-572-5743 |