| Angela Heather Marcucilli, NP-C | |
|
110 10th St Se, Bandon, OR 97411-9157 | |
| (541) 347-2313 | |
| Not Available |
| Full Name | Angela Heather Marcucilli |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 110 10th St Se, Bandon, 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 |
|---|---|---|---|
| 1942655931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 201506295NP-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Medford Medical Center | Medford, OR | Hospital |
| Asante Rogue Regional Medical Center | Medford, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 5294623245 | 158 |
| Entity Name | North Bend Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407812365 PECOS PAC ID: 5597677716 Enrollment ID: O20031105000138 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568547503 PECOS PAC ID: 5294623245 Enrollment ID: O20040310000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Heather Marcucilli, NP-C 1900 Woodland Dr, Coos Bay, OR 97420-2099 Ph: (541) 267-5151 | Angela Heather Marcucilli, NP-C 110 10th St Se, Bandon, OR 97411-9157 Ph: (541) 347-2313 |
Anna Delaine Dodd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 10th St Se, Bandon, OR 97411 Phone: 541-347-5191 Fax: 541-347-2015 | |
Stephanie Ann Empson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 1st St Se Ste 110, Bandon, OR 97411 Phone: 541-347-2529 | |
Jessica Ann Shrock, FNP--C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 10th St Se, Bandon, OR 97411 Phone: 541-347-5191 Fax: 541-266-4578 | |
Mary Nell Anker, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 10th St Se, Bandon, OR 97411 Phone: 541-347-2313 Fax: 541-347-2015 | |
Diane Michele Reid, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 1st St Se Ste 110, Bandon, OR 97411 Phone: 541-347-2529 | |
Ms. Ingrid Maria Tyson, MS FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 780 2nd St Se, Bandon, OR 97411 Phone: 541-347-2529 Fax: 541-347-9196 |