| Mr Benedict Mark M Bunal, NP | |
|
18633 Se Stark St Ste 401, Portland, OR 97233-5468 | |
| (503) 489-1760 | |
| Not Available |
| Full Name | Mr Benedict Mark M Bunal |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 18633 Se Stark St Ste 401, Portland, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508580119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2022013773 (Washington) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 202215281NP-PP (Oregon) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Corner Health Medical Group P A | 5799223236 | 36 |
| Cardiorenal Therapeutics Of Washington, Pllc | 7517379613 | 5 |
| Entity Name | Post Acute Medical PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730713025 PECOS PAC ID: 5193156115 Enrollment ID: O20200507000939 |
| Entity Name | Cardiorenal Therapeutics of Washington, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467054924 PECOS PAC ID: 7517379613 Enrollment ID: O20201215000311 |
| Entity Name | Altea Medical Washington PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609655497 PECOS PAC ID: 6406385855 Enrollment ID: O20250129003309 |
| Entity Name | Corner Health Medical Group P a |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205689171 PECOS PAC ID: 5799223236 Enrollment ID: O20250304002143 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Benedict Mark M Bunal, NP 12045 Se 5th St, Vancouver, WA 98683-5214 Ph: (904) 763-6796 | Mr Benedict Mark M Bunal, NP 18633 Se Stark St Ste 401, Portland, OR 97233-5468 Ph: (503) 489-1760 |
Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988 |
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555 |
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808 |
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575 |
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090 |
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St Ste 730, Portland, OR 97205 Phone: 971-354-9242 |
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700 |