| Rose J Kenny, MD | |
|
1001 Nw Canal Blvd Ste 101, Redmond, OR 97756-1697 | |
| (541) 548-8088 | |
| (541) 548-8018 |
| Full Name | Rose J Kenny |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1001 Nw Canal Blvd Ste 101, Redmond, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194975037 | NPI | - | NPPES |
| 228793 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD23253 (Oregon) | Primary |
| Entity Name | Impact Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114428612 PECOS PAC ID: 6204199086 Enrollment ID: O20231222003031 |
| Mailing Address | Practice Location Address |
|---|---|
| Rose J Kenny, MD 1001 Nw Canal Blvd Ste 101, Redmond, OR 97756-1697 Ph: (541) 548-8088 | Rose J Kenny, MD 1001 Nw Canal Blvd Ste 101, Redmond, OR 97756-1697 Ph: (541) 548-8088 |
Dr. Alan C Hilles, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 865 Sw Veterans Way, Redmond, OR 97756 Phone: 541-322-3500 | |
Nathan R Thompson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Nw Larch Ave, Redmond, OR 97756 Phone: 541-548-2164 Fax: 541-548-0534 | |
Sheryl L Norris, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 211 Nw Larch Ave, Redmond, OR 97756 Phone: 541-548-2164 Fax: 541-548-0534 | |
James K Detwiler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 211 Nw Larch Ave, Redmond, OR 97756 Phone: 541-548-2164 Fax: 541-548-0534 | |
Eric J Wattenburg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3818 Sw 21st St, Redmond, OR 97756 Phone: 541-548-2899 Fax: 541-504-3781 | |
Dr. Christopher Schuler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 Nw Larch Ave, Redmond, OR 97756 Phone: 541-548-2164 Fax: 541-548-0534 |