| Mr Jeff P Koeppel, LCSW | |
|
410 N 9th St, Cottage Grove, OR 97424-1307 | |
| (541) 942-2850 | |
| (541) 942-1574 |
| Full Name | Mr Jeff P Koeppel |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 29 Years |
| Location | 410 N 9th St, Cottage Grove, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235298696 | NPI | - | NPPES |
| 019047 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L3908 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Lane Mental Health Services, Inc | 0042544504 | 9 |
| Entity Name | South Lane Mental Health Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306905831 PECOS PAC ID: 0042544504 Enrollment ID: O20190703000580 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeff P Koeppel, LCSW 410 N 9th St, Cottage Grove, OR 97424-1307 Ph: (541) 942-2850 | Mr Jeff P Koeppel, LCSW 410 N 9th St, Cottage Grove, OR 97424-1307 Ph: (541) 942-2850 |
Michele Anne Monroe, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1450 Birch Ave, Cottage Grove, OR 97424 Phone: 541-255-8822 Fax: 360-844-5184 | |
Nicole Lee Baschleben, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 37 N 6th St, Cottage Grove, OR 97424 Phone: 541-623-6053 | |
Mrs. Diana L. V. Knee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1445 Gateway Blvd, Suite A, Cottage Grove, OR 97424 Phone: 541-942-0040 Fax: 541-942-0040 | |
Deirdre Simpson-rhoads, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1440 Birch Ave Ste 8, Cottage Grove, OR 97424 Phone: 541-801-3808 Fax: 360-844-5184 | |
Jennifer Lynn Ferraez, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1450 Birch Ave, Cottage Grove, OR 97424 Phone: 805-324-2658 Fax: 360-844-5184 | |
Rachel Andrews, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1245 Birch Ave, Cottage Grove, OR 97424 Phone: 541-767-4190 Fax: 541-942-6810 |