| Robert Anthony Kiesecker Jr, DNP, FNP-BC | |
|
781 Black Oak Dr Ste 102, Medford, OR 97504-9501 | |
| (541) 789-4236 | |
| (541) 789-5965 |
| Full Name | Robert Anthony Kiesecker Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Occupational Health |
| Location | 781 Black Oak Dr Ste 102, Medford, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750567129 | NPI | - | NPPES |
| 405773 | Medicaid | AZ | |
| 1750567129 | Medicaid | WA | |
| Z197493 | Other | AZ | MEDICARE |
| 201909324NP-PP | Other | OR | OR NP LICENSE |
| AP2889 | Other | AZ | AZ LICENSE |
| P01708343 | Other | WA | RR MEDICARE WVH |
| Entity Name | Yavapai Regional Medical Center Physician Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255582003 PECOS PAC ID: 5294898987 Enrollment ID: O20090106000798 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Anthony Kiesecker Jr, DNP, FNP-BC Po Box 10880, Prescott, AZ 86304-0880 Ph: (928) 759-5987 | Robert Anthony Kiesecker Jr, DNP, FNP-BC 781 Black Oak Dr Ste 102, Medford, OR 97504-9501 Ph: (541) 789-4236 |
Carla Ann Cochran, NP-C, FNP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 Black Oak Dr., Suite 300, Medford, OR 97504 Phone: 903-463-0003 | |
Christine Ann Stanek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2859 State Street, Suite 101, Medford, OR 97504 Phone: 541-282-6505 Fax: 541-282-6520 | |
Lena Lori Varner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Center Dr Ste 300, Medford, OR 97504 Phone: 541-930-8907 Fax: 541-245-4820 | |
Mrs. Lauren E Hodgdon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 Phone: 541-732-5537 | |
Kaitlin Eileen Stapleton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 State St, Medford, OR 97504 Phone: 541-779-1672 | |
Elizabeth L Pethtel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3170 State St, Medford, OR 97504 Phone: 541-864-8900 Fax: 541-245-3315 | |
Matthew Filoon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3011 E Barnett Rd, Medford, OR 97504 Phone: 541-789-4673 Fax: 541-789-2121 |