| Justin P Dennery, NP | |
|
676 Ne Maple Ave, Redmond, OR 97756-8527 | |
| (602) 570-1237 | |
| Not Available |
| Full Name | Justin P Dennery |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 676 Ne Maple Ave, Redmond, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073068078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP8638 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 202101566 (Oregon) | Primary |
| Entity Name | Icco Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin P Dennery, NP Po Box 1710, Redmond, OR 97756-0516 Ph: (541) 504-9577 | Justin P Dennery, NP 676 Ne Maple Ave, Redmond, OR 97756-8527 Ph: (602) 570-1237 |
Jessica Rae Gniadek, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7515 Falcon Crest Dr # 200, Redmond, OR 97756 Phone: 541-904-5216 Fax: 541-527-4347 | |
Lorelei Mcmillian, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1245 Nw 4th St Ste 201, Redmond, OR 97756 Phone: 541-323-4545 Fax: 541-323-4546 | |
Laura Jean Cheshire, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 218 Sw 4th St, Redmond, OR 97756 Phone: 541-508-9523 | |
Brittney Gillyard, PMHNP-BC, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7515 Falcon Crest Dr # 200, Redmond, OR 97756 Phone: 541-904-5216 Fax: 541-527-4347 | |
Amy B Mcelroy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Nw 5th St, Suite 101, Redmond, OR 97756 Phone: 541-526-6635 Fax: 541-526-6636 | |
Randi Louise Duble, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 Sw Veterans Way, Redmond, OR 97756 Phone: 541-383-3005 |