Mitaliben Rajendrakumar Gor, NP in Coos Bay, OR

Mitaliben Rajendrakumar Gor, NP is a medicare enrolled "Nurse Practitioner - Family" in Coos Bay, Oregon. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Bend Medical Center Inc and her current practice location is 1900 Woodland Dr, Coos Bay, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 267-5151.

Mitaliben Rajendrakumar Gor is licensed to practice in Oregon (license number 201909528NP-PP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114564630.

Contact Information

	Mitaliben Rajendrakumar Gor, NP
	1900 Woodland Dr, Coos Bay, OR 97420-2099
	(541) 267-5151
	Not Available

Map and Direction

Provider's Profile

Full Name	Mitaliben Rajendrakumar Gor
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1900 Woodland Dr, Coos Bay, 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.

Medical Education and Training:

Mitaliben Rajendrakumar Gor graduated from nursing school in 2019

NPI Data:

NPI Number: 1114564630
Provider Enumeration Date: 12/03/2019
Last Update Date: 12/03/2019

Medicare PECOS Information:

PECOS PAC ID: 1254766330
Enrollment ID: I20200117001671

Medical Identifiers

Medical identifiers for Mitaliben Rajendrakumar Gor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114564630	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	201909528NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bay Area Hospital	Coos bay, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Bend Medical Center Inc	5597677716	83

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mitaliben Rajendrakumar Gor allows following entities to bill medicare on her behalf.

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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mitaliben Rajendrakumar Gor is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mitaliben Rajendrakumar Gor, NP 705 Edwards Ave, Coos Bay, OR 97420-3408 Ph: (541) 404-1414	Mitaliben Rajendrakumar Gor, NP 1900 Woodland Dr, Coos Bay, OR 97420-2099 Ph: (541) 267-5151

Reviews and Comments

Nurse Practitioner Nurses in Coos Bay, OR

Jenny V Tausch, APRN PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Central Ave Ste 212, Coos Bay, OR 97420 Phone: 401-217-9333 Fax: 541-543-2470
Mrs. Regina M Ardiana, FNPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8111 Fax: 541-269-8469
Angela Renee York, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151
Mrs. Shirley Deveere Reynolds, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 998 Inlet Loop, Coos Bay, OR 97420 Phone: 773-996-0242
Diane H Todd, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4578
Ms. Denise J Gontiz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151

Mitaliben Rajendrakumar Gor, NP - Medicare Nurse Practitioner in Coos Bay, OR