| Elizabeth Gienger, FNP | |
|
1023 Main St, Sweet Home, OR 97386-1515 | |
| (541) 255-1234 | |
| (877) 414-2298 |
| Full Name | Elizabeth Gienger |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 1023 Main St, Sweet Home, 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 |
|---|---|---|---|
| 1366793846 | NPI | - | NPPES |
| R228549 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 201250148NP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Charles Medical Center - Bend | Bend, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Icco Llc | 1355406729 | 108 |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Entity Name | Silverton Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669424354 PECOS PAC ID: 8921901877 Enrollment ID: O20040129000172 |
| Entity Name | Icco Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510 |
| Entity Name | Sweet Home Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366013666 PECOS PAC ID: 3971907973 Enrollment ID: O20210813000100 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Gienger, FNP 1023 Main St, Sweet Home, OR 97386-1515 Ph: (541) 255-1234 | Elizabeth Gienger, FNP 1023 Main St, Sweet Home, OR 97386-1515 Ph: (541) 255-1234 |
Mrs. Diana Jerline Scott, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1023 Main St, Sweet Home, OR 97386 Phone: 541-255-1234 Fax: 877-414-2298 |