Mrs Havilah Noel Brodhead, RN, MSN, FNP-BC | |
2275 Ne Doctors Dr, Ste 1, Bend, OR 97701-6324 | |
(541) 316-5693 | |
(844) 395-8842 |
Full Name | Mrs Havilah Noel Brodhead |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 2275 Ne Doctors Dr, Bend, 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 |
---|---|---|---|
1841584844 | NPI | - | NPPES |
500678393 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 201407546NP-PP (Oregon) | Primary |
363LA2100X | Nurse Practitioner - Acute Care | 201500894NP-PP (Oregon) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hearthside Medicine Family Care Llc | 5597095620 | 3 |
Entity Name | Hearthside Medicine Family Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477051795 PECOS PAC ID: 5597095620 Enrollment ID: O20191002002684 |
Mailing Address | Practice Location Address |
---|---|
Mrs Havilah Noel Brodhead, RN, MSN, FNP-BC 2947 Ne Yellow Ribbon Dr, Bend, OR 97701-7657 Ph: (970) 275-6108 | Mrs Havilah Noel Brodhead, RN, MSN, FNP-BC 2275 Ne Doctors Dr, Ste 1, Bend, OR 97701-6324 Ph: (541) 316-5693 |
Mr. Nicholas J Campo Iii, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 233 Sw Wilson Ave Ste 201, Bend, OR 97702 Phone: 541-382-8862 Fax: 541-382-8928 | |
Elaine Michele Brown, RN ARNP PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2100 Ne Neff Rd Ste B, Bend, OR 97701 Phone: 541-647-2132 Fax: 541-728-0109 | |
Jonathan Andrew Mcfadyen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-2811 | |
Molly K Torvik, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2195 Ne Professional Ct Ste 1, Bend, OR 97701 Phone: 541-322-9396 | |
Jennifer Nicole Herr, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-4900 | |
Samantha Mullis, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 Fax: 541-706-7068 | |
Ms. Jordan Meier, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1345 Nw Wall St Ste 202, Bend, OR 97703 Phone: 541-204-2021 Fax: 541-325-4011 |