| Mary Susan Campbell, FNP | |
| 
					1010 Sw Coast Hwy, Suite 203, Newport, OR 97365-5288  | |
| (541) 265-4947 | |
| (541) 574-7670 | 
| Full Name | Mary Susan Campbell | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 1010 Sw Coast Hwy, Newport, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1346321577 | NPI | - | NPPES | 
| 1346321577 | Medicaid | MO | |
| 428755920 | Medicaid | MO | 
| Entity Name | Great Mines Health Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1376536953 PECOS PAC ID: 3072598143 Enrollment ID: O20041004000035  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mary Susan Campbell, FNP 1010 Sw Coast Hwy, Ste 203, Newport, OR 97365-5215 Ph: (573) 210-1010  | Mary Susan Campbell, FNP 1010 Sw Coast Hwy, Suite 203, Newport, OR 97365-5288 Ph: (541) 265-4947  | 
Kema Kasalaba, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Sw Coast Highway Suite 201, Newport, OR 97365 Phone: 541-265-8816 Fax: 541-265-3890  | |
Nancy Jane Reid, P.N.P.,   R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 Sw Nye St, Newport, OR 97365 Phone: 541-265-4947 Fax: 541-574-6252  | |
Della Fogerson, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 Sw Nye St, Newport, OR 97365 Phone: 541-265-4179  | |
Angela Lehrman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 930 Sw Abbey St Ste A, Newport, OR 97365 Phone: 541-265-8816  | |
Amber C Subialdea, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 930 Sw Abbey St Ste B, Newport, OR 97365 Phone: 541-265-3955  | |
Ms. Priscilla Jane Powers, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2002 Se Marine Science Dr, Newport, OR 97365 Phone: 541-867-8821 Fax: 541-867-8855  | |
Carrie Shaheira Nafziger, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36 Sw Nye St, Newport, OR 97365 Phone: 541-265-4947 Fax: 541-265-7670  |