| Jamilah Mooney, | |
|
1592 Monroe St, North Bend, OR 97459-3657 | |
| (541) 756-2048 | |
| (541) 756-2058 |
| Full Name | Jamilah Mooney |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1592 Monroe St, North Bend, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720350606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C2727 (Oregon) | Primary |
| Entity Name | Coos County Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811981053 PECOS PAC ID: 1759353071 Enrollment ID: O20040818001343 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamilah Mooney, 3587 Heathrow Way, Medford, OR 97504-4004 Ph: (541) 761-1065 | Jamilah Mooney, 1592 Monroe St, North Bend, OR 97459-3657 Ph: (541) 756-2048 |
William Simon, Counselor Medicare: Medicare Enrolled Practice Location: 1592 Monroe St, North Bend, OR 97459 Phone: 541-756-2048 Fax: 541-756-2058 | |
Mrs. Leanne Maylene Hake, CADCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 1950 Waite St, North Bend, OR 97459 Phone: 541-266-0020 | |
Mr. Jon Byron Albright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Virginia Ave, #201, North Bend, OR 97459 Phone: 541-751-0357 Fax: 541-751-9985 | |
Mrs. Roberta Goldie Grenier, CADC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Virginia Ave, #201, North Bend, OR 97459 Phone: 541-751-0357 Fax: 541-751-9985 | |
Maggie Klapperich, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Virginia Ave Ste 100, North Bend, OR 97459 Phone: 541-672-2691 | |
Jennifer Sue Rodriguez, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1913 Meade St, North Bend, OR 97459 Phone: 541-756-4508 | |
Kelly Andrea Manz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1592 Monroe St, North Bend, OR 97459 Phone: 541-756-2048 Fax: 541-756-2058 |