| Mrs Holli Watkin, CNP | |
|
1601 Monmouth St Ste 100, Independence, OR 97351-1019 | |
| (503) 838-0045 | |
| Not Available |
| Full Name | Mrs Holli Watkin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 1601 Monmouth St Ste 100, Independence, 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 |
|---|---|---|---|
| 1851645931 | NPI | - | NPPES |
| 500772076 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 201909639NP-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Salem Hospital | Salem, OR | Hospital |
| West Valley Hospital | Dallas, OR | Hospital |
| Santiam Hospital | Stayton, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kidney Care Physicians Llc | 0840283511 | 11 |
| Entity Name | Kidney Care Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467672261 PECOS PAC ID: 0840283511 Enrollment ID: O20040407000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Holli Watkin, CNP 10210 Bellingham Dr, Summerset, SD 57718-9271 Ph: (605) 890-2517 | Mrs Holli Watkin, CNP 1601 Monmouth St Ste 100, Independence, OR 97351-1019 Ph: (503) 838-0045 |
Ms. Bathsheba Shunquita Queen, BSN, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 216 S 2nd St Unit 183, Independence, OR 97351 Phone: 352-321-0554 | |
Mr. Tyler Charles Lonsford, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1430 Monmouth St, Independence, OR 97351 Phone: 503-917-2255 |