| Ms Denise J Gontiz, FNP | |
|
1900 Woodland Dr, Coos Bay, OR 97420-2099 | |
| (541) 267-5151 | |
| Not Available |
| Full Name | Ms Denise J Gontiz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1900 Woodland Dr, Coos Bay, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134561814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 201800340NP-PP (Oregon) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 23228 (California) | Secondary |
| Entity Name | Enloe Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396753281 PECOS PAC ID: 9739092388 Enrollment ID: O20031110000404 |
| Entity Name | Northstate Cardiology Consultants |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861425993 PECOS PAC ID: 1850327362 Enrollment ID: O20050715000183 |
| Entity Name | Enloe Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1992117592 PECOS PAC ID: 9739092388 Enrollment ID: O20141007000691 |
| Entity Name | Glenn Medical Center, Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1619929759 PECOS PAC ID: 4486050838 Enrollment ID: O20210909002556 |
| Entity Name | Enloe Health And Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740922426 PECOS PAC ID: 3678946282 Enrollment ID: O20230301002967 |
| Entity Name | Glenn Medical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356388961 PECOS PAC ID: 4486050838 Enrollment ID: O20230601002610 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Denise J Gontiz, FNP 1900 Woodland Dr, Coos Bay, OR 97420-2099 Ph: (541) 267-5151 | Ms Denise J Gontiz, FNP 1900 Woodland Dr, Coos Bay, OR 97420-2099 Ph: (541) 267-5151 |
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: Accepting Medicare Assignments Practice Location: 998 Inlet Loop, Coos Bay, OR 97420 Phone: 773-996-0242 | |
Mitaliben Rajendrakumar Gor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 | |
Shelly Prather, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 | |
Jacob Ryan Stradling, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 281 Laclair St, Coos Bay, OR 97420 Phone: 541-266-6733 Fax: 541-888-8726 |