Traci Nichole Gansberg, FNP | |
2821 Daggett Ave Ste 200, Klamath Falls, OR 97601-1106 | |
(541) 274-8400 | |
(541) 274-8405 |
Full Name | Traci Nichole Gansberg |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 2821 Daggett Ave Ste 200, Klamath Falls, 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 |
---|---|---|---|
1336692813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 201605976NP-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 | 145 |
Icco Llc | 1355406729 | 105 |
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 | Klamath Orthopedic Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811919913 PECOS PAC ID: 0244226561 Enrollment ID: O20040422000721 |
Entity Name | Icco Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510 |
Mailing Address | Practice Location Address |
---|---|
Traci Nichole Gansberg, FNP 2865 Daggett Ave, Klamath Falls, OR 97601-1106 Ph: (541) 274-8400 | Traci Nichole Gansberg, FNP 2821 Daggett Ave Ste 200, Klamath Falls, OR 97601-1106 Ph: (541) 274-8400 |
Ms. Barbara G Enos, RN, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2650 Washburn Way, Suite 180, Klamath Falls, OR 97603 Phone: 541-884-1952 Fax: 541-884-6085 | |
Brady William Sweat, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2865 Daggett Ave, Klamath Falls, OR 97601 Phone: 541-274-6177 Fax: 541-274-6177 | |
Cheri Maureen Jespersen, WHCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 826 Main St Ste 1, Klamath Falls, OR 97601 Phone: 541-887-8229 Fax: 541-887-8235 | |
Sara Malzacher, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2821 Daggett Ave Ste 200, Klamath Falls, OR 97601 Phone: 541-274-6221 | |
Eva-lynn Lund, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 Bryant Williams Dr, Klamath Falls, OR 97601 Phone: 541-810-4765 | |
Sharon K Heaton, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3001 Daggett Ave Ste 101, Klamath Falls, OR 97601 Phone: 541-274-3278 Fax: 541-274-3275 | |
Ms. Oriana Cruz, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2865 Daggett Ave, Klamath Falls, OR 97601 Phone: 541-274-6175 Fax: 541-274-6739 |