| Ms Denise E Stuntzner, LCSW | |
|
1900 Woodland Dr, Coos Bay, OR 97420-2045 | |
| (541) 267-5151 | |
| Not Available |
| Full Name | Ms Denise E Stuntzner |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 35 Years |
| Location | 1900 Woodland Dr, Coos Bay, 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 |
|---|---|---|---|
| 1245271246 | NPI | - | NPPES |
| 93-0635514 | Other | OR | NORTH BEND MEDICAL CENTER GROUP TAX ID |
| 161133 | Other | OR | NORTH BEND MEDICAL CENTER GROUP MEDICAID |
| R0000WFBTV | Other | OR | NORTH BEND MEDICAL CENTER GROUP MEDICARE |
| 1407812365 | Other | OR | NORTH BEND MEDICAL CENTER GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L3811 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Center, Llc. | 8426046707 | 2 |
| Entity Name | Coastal Center, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538278536 PECOS PAC ID: 8426046707 Enrollment ID: O20040505000154 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Denise E Stuntzner, LCSW 125 Central Ave, Ste 290, Coos Bay, OR 97420-2342 Ph: (541) 267-5151 | Ms Denise E Stuntzner, LCSW 1900 Woodland Dr, Coos Bay, OR 97420-2045 Ph: (541) 267-5151 |
Ms. Toni Wyatt-kirkeby, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1620 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-2986 Fax: 541-266-8640 | |
Mr. Jeffrey G. Friedman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1610 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-2986 Fax: 541-269-7987 | |
Kellilynn Bosak, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 150 S Wall St, Coos Bay, OR 97420 Phone: 541-435-7200 | |
Laurie C Reis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 281 Laclair St, Coos Bay, OR 97420 Phone: 541-266-6769 | |
Candace Nicole Wallis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 125 Central Ave Ste 290, Coos Bay, OR 97420 Phone: 541-267-2113 | |
Carol J. Embury, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1610 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-2986 Fax: 541-269-7987 |