| Kendra I Mifflin, NP | |
|
1253 Nw Canal Blvd, Redmond, OR 97756-1334 | |
| (541) 548-8131 | |
| (541) 460-4028 |
| Full Name | Kendra I Mifflin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1253 Nw Canal Blvd, 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 |
|---|---|---|---|
| 1245811769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71011032A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 10012039 (Oregon) | Primary |
| Entity Name | St Charles Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982621447 PECOS PAC ID: 3870402852 Enrollment ID: O20040112000045 |
| Entity Name | St Charles Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023331303 PECOS PAC ID: 8729111513 Enrollment ID: O20100730000227 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendra I Mifflin, NP Po Box 6095, Bend, OR 97708-6095 Ph: (541) 706-5922 | Kendra I Mifflin, NP 1253 Nw Canal Blvd, Redmond, OR 97756-1334 Ph: (541) 548-8131 |
Erin Hanlon Genereux, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Nw Larch Ave, Redmond, OR 97756 Phone: 541-548-2164 Fax: 541-598-3494 | |
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 | |
Jessica Walsh, MSN, APRN, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Nw 5th St, Redmond, OR 97756 Phone: 541-526-6635 Fax: 541-526-6636 | |
Justin P Dennery, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 676 Ne Maple Ave, Redmond, OR 97756 Phone: 602-570-1237 | |
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 |