| Ms Kimberly Ann Talley, APRN | |
|
2589 Nw Edenbower Blvd, Roseburg, OR 97471-6224 | |
| (541) 529-9190 | |
| Not Available |
| Full Name | Ms Kimberly Ann Talley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 2589 Nw Edenbower Blvd, Roseburg, Oregon |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376277665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 905251 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bay Area Hospital Home Health Agency | North bend, OR | Home health agency |
| Bay Area Hospital | Coos bay, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Waterfall Clinic Incorporated | 5698740355 | 23 |
| Entity Name | Waterfall Clinic Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619915113 PECOS PAC ID: 5698740355 Enrollment ID: O20040827000153 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kimberly Ann Talley, APRN 311 Porter St, Senatobia, MS 38668-1919 Ph: (662) 801-6117 | Ms Kimberly Ann Talley, APRN 2589 Nw Edenbower Blvd, Roseburg, OR 97471-6224 Ph: (541) 529-9190 |
Ian Andrew Thomas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2460 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471 Phone: 541-229-2663 | |
Ms. Jo Ann G. Berenbach, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Building 2 Mhc, Roseburg, OR 97470 Phone: 541-440-1000 Fax: 541-440-1356 | |
Charlene Davis, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309 | |
Carol Lynn Collins, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000 | |
Sherri Twedt, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000 | |
Sunny L May, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2460 Nw Stewart Pkwy, Suite 240, Roseburg, OR 97471 Phone: 541-677-4427 Fax: 541-677-6522 | |
Mr. Donald L Bons, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 W Umpqua St, Roseburg, OR 97471 Phone: 541-464-7100 |