Shelly Prather, FNP | |
350 Wheeler St, Lebanon, OR 97355-4349 | |
(458) 223-0848 | |
Not Available |
Full Name | Shelly Prather |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 350 Wheeler St, Lebanon, 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 |
---|---|---|---|
1124657887 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 202006753NP-PP (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bay Area Hospital | Coos bay, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Waterfall Clinic Incorporated | 5698740355 | 17 |
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 |
---|---|
Shelly Prather, FNP 350 Wheeler St, Lebanon, OR 97355-4349 Ph: (458) 223-0848 | Shelly Prather, FNP 350 Wheeler St, Lebanon, OR 97355-4349 Ph: (458) 223-0848 |
Heidi Lee Blair, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 425 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-6960 | |
Dr. Stefanie R Coffey, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35 Mullins Dr Ste 2, Lebanon, OR 97355 Phone: 541-451-7915 | |
Ms. Karen Denise Mallozzi, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 675 N 5th St, Lebanon, OR 97355 Phone: 541-451-6282 | |
Sally Jean Beggs, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 425 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-6960 Fax: 541-918-5419 | |
Molly Jo Soltero, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-6960 Fax: 541-918-5419 | |
Dana M Scully, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Twin Oakes Ave, Suite A-1, Lebanon, OR 97355 Phone: 541-451-6920 Fax: 541-451-6924 |