| Diana Marie Everly, | |
|
404 Ne Penn Ave, Bend, OR 97701-4264 | |
| (877) 522-1275 | |
| (833) 888-7145 |
| Full Name | Diana Marie Everly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 404 Ne Penn Ave, Bend, 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 |
|---|---|---|---|
| 1396347035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 202010016NP-PP (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Ideal Option Pllc | 6709013105 | 94 |
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Ideal Option Pllc | 6709013105 | 94 |
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Ideal Option Pllc | 6709013105 | 94 |
| Entity Name | Ideal Option Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457788275 PECOS PAC ID: 6709013105 Enrollment ID: O20180104000573 |
| Entity Name | Ideal Telemedicine Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346754868 PECOS PAC ID: 2860726221 Enrollment ID: O20190715003330 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Marie Everly, 144911 Trotter Ct, La Pine, OR 97739-9196 Ph: (541) 480-4500 | Diana Marie Everly, 404 Ne Penn Ave, Bend, OR 97701-4264 Ph: (877) 522-1275 |
Mr. Nicholas J Campo Iii, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 233 Sw Wilson Ave Ste 201, Bend, OR 97702 Phone: 541-382-8862 Fax: 541-382-8928 | |
Elaine Michele Brown, RN ARNP PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2100 Ne Neff Rd Ste B, Bend, OR 97701 Phone: 541-647-2132 Fax: 541-728-0109 | |
Jonathan Andrew Mcfadyen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-2811 | |
Molly K Torvik, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Nw Wall St Ste 202, Bend, OR 97703 Phone: 541-204-2021 Fax: 541-325-4011 | |
Jennifer Nicole Herr, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-4900 | |
Samantha Mullis, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 Fax: 541-706-7068 | |
Ms. Jordan Meier, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1345 Nw Wall St Ste 202, Bend, OR 97703 Phone: 541-204-2021 Fax: 541-325-4011 |