Dr Shaun David Tolbert, DNP, PMHNP-BC | |
530 Nw 27th St, Corvallis, OR 97330-5223 | |
(541) 766-6835 | |
Not Available |
Full Name | Dr Shaun David Tolbert |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 530 Nw 27th St, Corvallis, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508164377 | NPI | - | NPPES |
363LP0808X | Other | OR | TAXONOMY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 201906152NP-PP (Oregon) | Primary |
Entity Name | Cooper Green Mercy Health Services Authority An Affiliate Of Uab |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366073108 PECOS PAC ID: 0840629473 Enrollment ID: O20200402003238 |
Mailing Address | Practice Location Address |
---|---|
Dr Shaun David Tolbert, DNP, PMHNP-BC 922 Nw Cir Blvd Ste 160, Pmb 268, Corvallis, OR 97330-1180 Ph: (205) 908-8142 | Dr Shaun David Tolbert, DNP, PMHNP-BC 530 Nw 27th St, Corvallis, OR 97330-5223 Ph: (541) 766-6835 |
Ms. Kim Schlessinger, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-6687 Fax: 541-768-5424 | |
Kourtney L Hanks, CNM/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150 | |
Ms. Maria R. Clark-harmon, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3521 Nw Samaritan Dr, Suite 201, Corvallis, OR 97330 Phone: 541-768-5140 | |
Ms. Sherry Ruth Goeden Vi, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 121 Se Viewmont Ave, Corvallis, OR 97333 Phone: 541-766-3546 Fax: 541-766-6143 | |
Christy M Rummel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1760 Sw 3rd St, Corvallis, OR 97333 Phone: 541-207-3773 Fax: 800-549-1017 | |
Ms. Christine Dawn Gallagher, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3640 Nw Samaritan Dr Ste 100, Corvallis, OR 97330 Phone: 541-768-5205 | |
Ruth S Palma, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150 |