| Nicole Fennell, | |
|
1775 Thompson Rd, Coos Bay, OR 97420-2125 | |
| (541) 269-8111 | |
| Not Available |
| Full Name | Nicole Fennell |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1775 Thompson Rd, 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 |
|---|---|---|---|
| 1639626724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA179333 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Fennell, 1775 Thompson Rd, Coos Bay, OR 97420-2125 Ph: (541) 269-8111 | Nicole Fennell, 1775 Thompson Rd, Coos Bay, OR 97420-2125 Ph: (541) 269-8111 |
Akhila Parepalli, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8111 | |
Mr. Gregory Sopka, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 | |
Casey Afton Quayle, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 | |
Benjamin Val Chu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8111 | |
Clifford S Lance, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2699 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3600 Fax: 541-269-0708 | |
Magdalene Clare Shaughnessy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 | |
Matthew E Cornia, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2699 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3635 Fax: 541-269-0708 |