| Audrey M Duke, FNP | |
|
1900 Woodland Dr, Coos Bay, OR 97420-0000 | |
| (541) 267-5151 | |
| (541) 266-4547 |
| Full Name | Audrey M Duke |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1900 Woodland Dr, Coos Bay, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417923632 | NPI | - | NPPES |
| 1619915113 | Other | OR | WATERFALL CLINIC -NPI |
| CB3544 | Other | OR | TRAV RR GROUP NUMBER |
| P00412791 | Other | OR | TRAV RR PTAN NUMBER |
| R0000WFBTV | Other | OR | GROUP PIN NUMBER |
| 381902 | Other | OR | WATERFALL CLINIC MEDICARE/OSCAR |
| 930635514 | Other | OR | GROUP TAX ID |
| 291671 | Medicaid | OR | |
| 1407812365 | Other | OR | NBMC NPI NUMBER-GROUP |
| 213342 | Other | OR | WATERFALL CLINIC DMAP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 200050072NP (Oregon) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey M Duke, FNP 1900 Woodland Dr, Coos Bay, OR 97420-0000 Ph: (541) 267-5151 | Audrey M Duke, FNP 1900 Woodland Dr, Coos Bay, OR 97420-0000 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 | |
Angela Renee York, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 | |
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 |