| Mary Lou Freitag, | |
|
324 4th St, Myrtle Point, OR 97458-1074 | |
| (541) 572-2111 | |
| Not Available |
| Full Name | Mary Lou Freitag |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 324 4th St, Myrtle Point, 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 |
|---|---|---|---|
| 1962090621 | NPI | - | NPPES |
| 500789478 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 202010537NP-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bay Area Hospital | Coos bay, OR | Hospital |
| Coquille Valley Hospital District | Coquille, OR | Hospital |
| Southern Coos Hospital & Health Center | Bandon, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coquille Valley Health | 2567902182 | 16 |
| Entity Name | North Bend Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407812365 PECOS PAC ID: 5597677716 Enrollment ID: O20031105000138 |
| Entity Name | Coquille Valley Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730223967 PECOS PAC ID: 6901714591 Enrollment ID: O20040420000530 |
| Entity Name | Coquille Valley Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376374967 PECOS PAC ID: 2567902182 Enrollment ID: O20240910003766 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Lou Freitag, 1900 Woodland Dr, Coos Bay, OR 97420-2099 Ph: (541) 267-5151 | Mary Lou Freitag, 324 4th St, Myrtle Point, OR 97458-1074 Ph: (541) 572-2111 |
Mrs. Ana Marie Ferguson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 324 4th St, Myrtle Point, OR 97458 Phone: 541-572-2111 Fax: 541-572-5743 |