| Mrs Jill Cohen, | |
|
41805 Stayton Scio Rd Se, Stayton, OR 97383-9739 | |
| (503) 507-5356 | |
| (866) 225-2708 |
| Full Name | Mrs Jill Cohen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 41805 Stayton Scio Rd Se, Stayton, 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 |
|---|---|---|---|
| 1578981379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 201605808NP-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Santiam Hospital | Stayton, OR | Hospital |
| Salem Hospital | Salem, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Santiam Mobile Medicine Llc | 1456614361 | 3 |
| Entity Name | Vida Family Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063567832 PECOS PAC ID: 5496770547 Enrollment ID: O20051007000846 |
| Entity Name | Salem Health Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285774257 PECOS PAC ID: 5294094769 Enrollment ID: O20180109003027 |
| Entity Name | Santiam Mobile Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750899035 PECOS PAC ID: 1456614361 Enrollment ID: O20180508001303 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jill Cohen, Po Box 118, Stayton, OR 97383-0118 Ph: (503) 507-5356 | Mrs Jill Cohen, 41805 Stayton Scio Rd Se, Stayton, OR 97383-9739 Ph: (503) 507-5356 |
Ernest Eugene Lissy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1375 N 10th Ave, Stayton, OR 97383 Phone: 503-769-2641 Fax: 503-769-3797 | |
Elizabeth Apollo-loomis, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 N 10th Ave, Stayton, OR 97383 Phone: 503-769-9307 | |
Takahla Circle, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1401 N 10th Ave, Stayton, OR 97383 Phone: 541-852-2746 | |
Amanda Gildersleeve, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1095 N 1st Ave, Stayton, OR 97383 Phone: 503-767-3226 | |
Mrs. Julia Rose Koos, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41805 Stayton Scio Rd Se, Stayton, OR 97383 Phone: 503-507-5356 Fax: 866-225-2708 | |
Jennifer Rae Muller, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1375 N 10th Ave, Stayton, OR 97383 Phone: 503-769-2641 | |
Mrs. Luanna Lee Dishon, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41805 Stayton Scio Rd Se, Stayton, OR 97383 Phone: 503-507-5356 |