| Jackie B Michael-havens, NP | |
|
Po Box 790, Gold Beach, OR 97444-0790 | |
| (609) 752-1320 | |
| Not Available |
| Full Name | Jackie B Michael-havens |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | Po Box 790, Gold Beach, 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 |
|---|---|---|---|
| 1548701600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 202000081-NP-PP (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pueblo Of Jemez | 3971584509 | 22 |
| Pueblo Of Jemez | 3971584509 | 22 |
| Entity Name | Pueblo of Jemez |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417082215 PECOS PAC ID: 3971584509 Enrollment ID: O20050411001246 |
| Mailing Address | Practice Location Address |
|---|---|
| Jackie B Michael-havens, NP Po Box 790, Gold Beach, OR 97444-0790 Ph: Not Available | Jackie B Michael-havens, NP Po Box 790, Gold Beach, OR 97444-0790 Ph: (609) 752-1320 |
Dorothy Joy Dutton, FNP, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 94125 4th Street, Gold Beach, OR 97444 Phone: 541-247-6628 Fax: 541-247-6629 |
Mrs. Patricia Ann Savage, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 94235 Moore St, Suite 121, Gold Beach, OR 97444 Phone: 541-247-3300 Fax: 541-247-5601 |
Elissa Ann Moore, DNP, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 94180 2nd St, Gold Beach, OR 97444 Phone: 541-247-3940 |
Alice B Taylor, CNM NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29135 Ellensburg Ave, Gold Beach, OR 97444 Phone: 541-425-5311 Fax: 541-425-5577 |
Alyssa Ashley Mcnair, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29975 Harbor Way Ste A, Gold Beach, OR 97444 Phone: 541-261-6857 |
Sara Dickerson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29984 Ellensburg Ave, Gold Beach, OR 97444 Phone: 541-247-7084 |
Shilo Marie Mckenzie, CNMNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29135 Ellensburg Ave, Gold Beach, OR 97444 Phone: 541-425-5311 Fax: 541-425-5577 |