| Kelly Eileen Church, FNP | |
|
910 S Central Ave, Medford, OR 97501-7822 | |
| (541) 618-1380 | |
| Not Available |
| Full Name | Kelly Eileen Church |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 910 S Central Ave, Medford, 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 |
|---|---|---|---|
| 1598309387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 201390291RN (Oregon) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 202000541NP-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Asante Rogue Regional Medical Center | Medford, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| La Clinica Del Valle Family Health Care Center Inc | 0244143089 | 52 |
| Asante | 0547177321 | 113 |
| Entity Name | La Clinica Del Valle Family Health Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851327571 PECOS PAC ID: 0244143089 Enrollment ID: O20031107000627 |
| Entity Name | Asante |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587107 PECOS PAC ID: 0547177321 Enrollment ID: O20031219000238 |
| Entity Name | Asante Ashland Community Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730628827 PECOS PAC ID: 7012286859 Enrollment ID: O20180426001620 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Eileen Church, FNP 931 Chevy Way, Medford, OR 97504-4127 Ph: (541) 690-3555 | Kelly Eileen Church, FNP 910 S Central Ave, Medford, OR 97501-7822 Ph: (541) 618-1380 |
Carla Ann Cochran, NP-C, FNP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 Black Oak Dr., Suite 300, Medford, OR 97504 Phone: 903-463-0003 | |
Christine Ann Stanek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2859 State Street, Suite 101, Medford, OR 97504 Phone: 541-282-6505 Fax: 541-282-6520 | |
Lena Lori Varner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Center Dr Ste 300, Medford, OR 97504 Phone: 541-930-8907 Fax: 541-245-4820 | |
Jessica Faith Yeager Akram, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2860 Creekside Cir, Medford, OR 97504 Phone: 541-779-8367 | |
Mrs. Lauren E Hodgdon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 Phone: 541-732-5537 | |
Kaitlin Eileen Stapleton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3270 Hillcrest Road, Medford, OR 97504 Phone: 541-779-1672 | |
Elizabeth L Pethtel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3170 State St, Medford, OR 97504 Phone: 541-864-8900 Fax: 541-245-3315 |