Forest Wayne Shira, FNP-C | |
1863 Ne Freemont Ave, Roseburg, OR 97470-3535 | |
(541) 733-2230 | |
Not Available |
Full Name | Forest Wayne Shira |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 1863 Ne Freemont Ave, Roseburg, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689001000 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 201392914NP-PP (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Asante Three Rivers Medical Center | Grants pass, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Asante Three Rivers Medical Center Llc | 9931197993 | 80 |
Entity Name | Asante Three Rivers Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801891809 PECOS PAC ID: 9931197993 Enrollment ID: O20040506000367 |
Entity Name | Doctors Emergency Room Corp Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811055437 PECOS PAC ID: 2668467317 Enrollment ID: O20121022000749 |
Mailing Address | Practice Location Address |
---|---|
Forest Wayne Shira, FNP-C 1863 Ne Freemont Ave, Roseburg, OR 97470-3535 Ph: (541) 733-2230 | Forest Wayne Shira, FNP-C 1863 Ne Freemont Ave, Roseburg, OR 97470-3535 Ph: (541) 733-2230 |
Ms. Jo Ann G. Berenbach, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Building 2 Mhc, Roseburg, OR 97470 Phone: 541-440-1000 Fax: 541-440-1356 | |
Charlene Davis, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309 | |
Robin Rae Horton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Ne Kenneth Ford Dr, Roseburg, OR 97470 Phone: 541-672-9596 Fax: 541-464-3519 | |
Sunny L May, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2460 Nw Stewart Pkwy, Suite 240, Roseburg, OR 97471 Phone: 541-677-4427 Fax: 541-677-6522 | |
Mr. Donald L Bons, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 W Umpqua St, Roseburg, OR 97471 Phone: 541-464-7100 | |
Morgan Michelle Petersen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 427 W Carroll Ct, Roseburg, OR 97471 Phone: 541-580-7378 | |
Susan Carol Hibbs, PMHNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-672-2691 |