Shannon Carlson, | |
3311 Riverbend Dr, Springfield, OR 97477-8800 | |
(541) 484-4332 | |
(541) 302-0786 |
Full Name | Shannon Carlson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 3311 Riverbend Dr, Springfield, 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 |
---|---|---|---|
1700285582 | NPI | - | NPPES |
013393500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | ARNP 9380645 (Florida) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 201703390NP-PP (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sacred Heart Medical Center - Riverbend | Springfield, OR | Hospital |
Peacehealth Cottage Grove Community Medical Center | Cottage grove, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peacehealth | 8527016039 | 171 |
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 | Peacehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740223874 PECOS PAC ID: 8527016039 Enrollment ID: O20050111000353 |
Mailing Address | Practice Location Address |
---|---|
Shannon Carlson, 1115 Se 164th Ave Dept 358, Vancouver, WA 98683-8004 Ph: (360) 729-1459 | Shannon Carlson, 3311 Riverbend Dr, Springfield, OR 97477-8800 Ph: (541) 484-4332 |
Vivian Enyo Dzata, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2073 Olympic St, Springfield, OR 97477 Phone: 541-682-3550 Fax: 541-682-3551 | |
Mrs. Kay Ann Froemming, RN CPNP IBLC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Q St, Springfield, OR 97477 Phone: 641-744-7121 Fax: 541-726-4104 | |
Cierra Hibbs-porter-rogge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-8400 | |
Donna Cash, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3311 River Bend Drive, Suite 300, Springfield, OR 97477 Phone: 541-484-4332 Fax: 541-302-0786 | |
Patricia Louise Brisco, ANP, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3355 Riverbend Dr Ste 300, Springfield, OR 97477 Phone: 541-868-9303 Fax: 541-868-9306 | |
Alan Joseph Garcin, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-8400 Fax: 541-222-8401 | |
Barbara L Bryson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2073 Olympic Street, Springfield, OR 97477 Phone: 451-682-3550 Fax: 451-682-3551 |