| Angela Renee York, NP | |
|
1900 Woodland Dr, Coos Bay, OR 97420-2099 | |
| (541) 267-5151 | |
| Not Available |
| Full Name | Angela Renee York |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 24 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 |
|---|---|---|---|
| 1063457612 | NPI | - | NPPES |
| 1407812365 | Other | OR | NBMC-MAIN GROUP NPI |
| 93-0635514 | Other | OR | NBMC-MAIN GROUP TAX ID FOR BILLING |
| 161133 | Other | OR | NBMC-MAIN GROUP DMAP |
| 500635199 | Medicaid | OR | |
| R0000WFBTV | Other | OR | NBMC-MAIN GROUP MEDICARE |
| 39234355 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 102436 (Colorado) | Secondary |
| 363L00000X | Nurse Practitioner | 201150055NP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Crawford Memorial Hospital | Robinson, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crawford Hospital District | 7719898071 | 61 |
| Crawford Hospital District | 7719898071 | 61 |
| Entity Name | Crawford Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861423287 PECOS PAC ID: 7719898071 Enrollment ID: O20040205000950 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Renee York, NP 1900 Woodland Dr, Coos Bay, OR 97420-2099 Ph: (541) 267-5151 | Angela Renee York, NP 1900 Woodland Dr, Coos Bay, OR 97420-2099 Ph: (541) 267-5151 |
Jenny V Tausch, APRN PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Central Ave Ste 212, Coos Bay, OR 97420 Phone: 401-217-9333 Fax: 541-543-2470 | |
Mrs. Regina M Ardiana, FNPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8111 Fax: 541-269-8469 | |
Mrs. Shirley Deveere Reynolds, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 998 Inlet Loop, Coos Bay, OR 97420 Phone: 773-996-0242 | |
Mitaliben Rajendrakumar Gor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 | |
Shelly Prather, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 | |
Jacob Ryan Stradling, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 281 Laclair St, Coos Bay, OR 97420 Phone: 541-266-6733 Fax: 541-888-8726 |