Dr. Nancy Barrese – Internist / Geriatrician | Oshawa, ON

With extensive experience in Internal Medicine and Geriatric Care, Dr. Nancy Barrese serves as a trusted medical specialist. Practicing in Oshawa, ON, she provides comprehensive care in Internal Medicine and Geriatric Care, dedicated to improving the health and well-being of her patients. Her practice is committed to adhering to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring safe and ethical medical care.

She graduated with a Medical Degree from the University of Toronto in 1999 and has completed extensive post-graduate medical training, including residency in Internal Medicine. Her certifications include Fellowships and ongoing medical education in geriatrics and internal medicine, enabling her to stay current with the latest advancements and best practices in her field.

Dr. Barrese’s clinical philosophy is warm and community-focused. She is dedicated to serving the Oshawa community with compassion and respect. She speaks fluent English and is committed to providing accessible, patient-centered care to adults, including seniors, in a supportive and understanding environment.

Dr. Barrese provides expert care for adults with a wide range of medical conditions, including:

Complex Diagnostic & Multi-System Issues

• Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
• Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
• Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.

Select Infectious & Inflammatory Conditions

• Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
• Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.
• Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.

Endocrine & Metabolic Disorders

• Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.
• Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.

Dr. Barrese manages a wide range of complex adult and geriatric health conditions. This list highlights common areas of focus. If your condition is not listed, please note that internal medicine specialists address diverse and often multi-systemic diseases. Consultation is typically initiated via referral from your primary care physician.

• Geriatric Psychiatry Liaison Support: Assessing and managing mood disorders (like depression, anxiety) and behavioral changes often associated with dementia or other conditions in older adults.
• Management of Complex Chronic Diseases: Ongoing care and treatment optimization for adults managing multiple chronic conditions such as diabetes, heart disease, kidney disease, hypertension, and respiratory illnesses.
• Cognitive and Memory Assessment: Detailed evaluation for concerns about memory loss or changes in thinking; diagnosis and management of dementia and mild cognitive impairment.
• Management of Chronic Respiratory Conditions: Ongoing care for conditions such as COPD, asthma, and interstitial lung diseases, focusing on symptom control and exacerbation prevention.
• Falls Risk Assessment and Prevention: Identifying factors contributing to falls in older adults and implementing strategies to improve balance, strength, and home safety.

Note: This list represents some of the key services offered by Dr. Barrese. As a specialist in Internal Medicine and Geriatric Care, she provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Barrese's scope of practice, please discuss with your referring physician or contact the clinic.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO).

Dr. Nancy Barrese’s practice is located in the Lakeview area within the Farewell neighborhood of Oshawa. The clinic is situated within the Ottawa Hospital - General Campus, providing a central and accessible location for residents of Oshawa and surrounding communities. The practice is conveniently close to Ontario Tech University and Durham College, making it accessible for students and staff alike. Patients can reach the clinic easily via Durham Region Transit (DRT). The facility is wheelchair accessible. Parking is available at the facility.

How is payment handled for appointments with Dr. Barrese? Is it covered by Ontario Health Insurance Plan (OHIP)?

In ON, medical consultations with specialists like Dr. Barrese are typically covered by your provincial health insurance (Ontario Health Insurance Plan (OHIP)) when you present a valid health card and have the required referral. You generally do not pay directly for the consultation service itself. Some specific procedures, forms, or administrative tasks might not be covered by Ontario Health Insurance Plan (OHIP) and may incur a separate fee according to provincial guidelines. Please inquire if you have questions about uninsured services.

Can I book an appointment directly or do I absolutely need a referral?

A referral from your family physician or another medical specialist is required to see Dr. Barrese. As experts in Internal Medicine and Geriatric Care, Internists and Geriatricians see patients based on specific medical questions posed by the referring doctor. This ensures continuity of care and that the consultation is appropriate for your needs. Please have your doctor forward the referral information.

Is Dr. Barrese affiliated with a specific hospital?

Hospital privileges can vary. Dr. Barrese may have admitting privileges or provide consultation services at Oshawa's local hospitals. This affiliation allows for coordinated care if hospitalization is required. If you are admitted, the hospital team may consult Dr. Barrese as needed, or she might be involved in your care depending on the specific hospital and service arrangements. Please confirm details with the office if needed.

Ottawa Hospital - General Campus
Room-G12, 117 King Street East
Oshawa, ON L1H 1B9

Phone: (905) 721-3546 | Fax: (905) 721-4342

The facility is wheelchair accessible.

Dr. Barrese is a licensed physician regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Medicine Act, 1991 in ON. Patients are typically seen by referral from their primary care physician.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Barrese-Nancy/0158273-73612