| Mr Michael George Pruner, ARNP | |
|
25647 Redwood Hwy, Cave Junction, OR 97523-9332 | |
| (541) 592-4111 | |
| (541) 592-3916 |
| Full Name | Mr Michael George Pruner |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 25647 Redwood Hwy, Cave Junction, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356472161 | NPI | - | NPPES |
| ARNP 3366972 | Other | FL | ARNP |
| 500676542 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | ARNP 3366972 (Florida) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 201394159NP-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sky Lakes Medical Center | Klamath falls, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sky Lakes Medical Center Inc | 1052204096 | 170 |
| Entity Name | Sky Lakes Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659340370 PECOS PAC ID: 1052204096 Enrollment ID: O20040204000577 |
| Entity Name | Allcare Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699360412 PECOS PAC ID: 6507269115 Enrollment ID: O20210720002502 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael George Pruner, ARNP 1701 Nw Hawthorne Ave, Grants Pass, OR 97526-1257 Ph: (541) 592-4111 | Mr Michael George Pruner, ARNP 25647 Redwood Hwy, Cave Junction, OR 97523-9332 Ph: (541) 592-4111 |
Ms. Joya H Feltzin, CNM FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 625 E River Street, Illinois Valley High School Student Health Center, Cave Junction, OR 97523 Phone: 541-592-3749 Fax: 541-592-3749 | |
Tiffany M Crane, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25647 Redwood Hwy, Cave Junction, OR 97523 Phone: 541-592-4111 Fax: 541-592-3916 | |
Amy Leigh Wills, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25647 Redwood Hwy, Cave Junction, OR 97523 Phone: 541-592-4111 Fax: 541-494-1099 | |
Sarah Katherine Belfakih, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 341 E Cottage Park Dr Ste 1, Cave Junction, OR 97523 Phone: 541-450-3625 | |
Mrs. Mary Lou Alonso, NP1578815783 Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25647 Redwood Hwy, Cave Junction, OR 97523 Phone: 541-592-4111 Fax: 541-592-3916 | |
Lisa Ann Edwards, PPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25647 Redwood Hwy, Cave Junction, OR 97523 Phone: 541-500-8407 |