| Ms Adrienne J Maynard, DNP, PMHNP BC | |
|
1245 Edgewater St Nw, Salem, OR 97304-4049 | |
| (503) 588-5816 | |
| (503) 588-5803 |
| Full Name | Ms Adrienne J Maynard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 1245 Edgewater St Nw, Salem, 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 |
|---|---|---|---|
| 1063559094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 09248 (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 200850148NP (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clinicops Llc | 9739343245 | 20 |
| 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 | Clinicops Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275821266 PECOS PAC ID: 9739343245 Enrollment ID: O20120613000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Adrienne J Maynard, DNP, PMHNP BC 1245 Edgewater St Nw, Salem, OR 97304-4049 Ph: (503) 588-5816 | Ms Adrienne J Maynard, DNP, PMHNP BC 1245 Edgewater St Nw, Salem, OR 97304-4049 Ph: (503) 588-5816 |
Ashley Barth, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Bellevue St Se, Salem, OR 97301 Phone: 503-814-5554 | |
Dr. Betty Ang, PH.D., PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1660 Oak St Se, Salem Va Outpatient Clinic, Salem, OR 97301 Phone: 503-316-8817 Fax: 503-316-9037 | |
Mrs. Patricia Lynn Eich, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3180 Center St Ne, Salem, OR 97301 Phone: 503-588-5355 Fax: 503-585-4995 | |
Lisa Renee Bennett, FNP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1095 Liberty St Ne, Salem, OR 97301 Phone: 503-581-6550 Fax: 503-581-4755 | |
Curtis B Gill, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Bellevue St Se, Salem, OR 97301 Phone: 503-561-5554 | |
Mr. Matthew David Piehler, PMHNP-BC, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2045 Silverton Rd Ne Ste B, Salem, OR 97301 Phone: 503-588-5351 | |
Ms. Sharon L Espersen, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 885 Mission St Se, Salem, OR 97302 Phone: 503-585-5585 Fax: 503-587-7823 |