Grand Ronde Health And Wellness Center - Medicare Mental Health Clinic in Grand Ronde, OR

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Grand Ronde Health And Wellness Center is a medicare enrolled mental health clinic (Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy) in Grand Ronde, Oregon. The current practice location for Grand Ronde Health And Wellness Center is 9605 Grand Ronde Rd, Grand Ronde, Oregon. For appointments, you can reach them via phone at (503) 879-2236. The mailing address for Grand Ronde Health And Wellness Center is Po Box 338, Grand Ronde, Oregon and phone number is (503) 879-2236.

Grand Ronde Health And Wellness Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1174666358. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (503) 879-2236.

Contact Information

Grand Ronde Health And Wellness Center
9605 Grand Ronde Rd
Grand Ronde
OR 97347-9712
(503) 879-2236
(503) 879-5089

Map and Direction


Mental Health Clinic Profile

Full NameGrand Ronde Health And Wellness Center
SpecialityIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Location9605 Grand Ronde Rd, Grand Ronde, Oregon
Authorized Official Name and PositionKelly D Rowe (EXECUTIVE DIRECTOR HEALTH SERVICES)
Authorized Official Contact5038792075
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Grand Ronde Health And Wellness Center
Po Box 338
Grand Ronde
OR 97347-0338

Ph: (503) 879-2236		Grand Ronde Health And Wellness Center
9605 Grand Ronde Rd
Grand Ronde
OR 97347-9712

Ph: (503) 879-2236

NPI Details:

NPI Number1174666358
Provider Enumeration Date02/15/2007
Last Update Date02/28/2024
Certification Date02/28/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6103717277
Medicare Enrollment IDO20040320000494

Medical Identifiers

Medical identifiers for Grand Ronde Health And Wellness Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174666358NPI-NPPES
500786332MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
111N00000XChiropractor (* (Not Available))Secondary
1223G0001XDentist - General Practice (* (Not Available))Secondary
152W00000XOptometrist (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Secondary
261QC1500XClinic/center - Community Health (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 126883 (Oregon)Secondary
261QR0200XClinic/center - Radiology 445142 (Oregon)Secondary
291U00000XClinical Medical Laboratory 38D0862855 (Oregon)Secondary
332800000XIndian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy (* (Not Available))Primary
333600000XPharmacy 1559 (Oregon)Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LP2300XNurse Practitioner - Primary Care (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Grand Ronde Health And Wellness Center acts as a billing entity for following providers:
Provider NameMatthew E Grady
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811951569
PECOS PAC ID: 7911080999
Enrollment ID: I20080214000082
Provider NameLance Loberg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932180734
PECOS PAC ID: 5799855649
Enrollment ID: I20080603000856
Provider NameRandall E Blome
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861457384
PECOS PAC ID: 9830222504
Enrollment ID: I20100802000365
Provider NameGrant William Knowles
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1710362058
PECOS PAC ID: 9739484494
Enrollment ID: I20160218000997
Provider NameDenise B Fellows
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174060701
PECOS PAC ID: 4981965225
Enrollment ID: I20180228001917
Provider NameAnandam Hilde
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1861753352
PECOS PAC ID: 1658667944
Enrollment ID: I20180517001656
Provider NameTerri Lynn Knowles
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1922554542
PECOS PAC ID: 1658610704
Enrollment ID: I20190306003701
Provider NameJames R Laidler
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1629322888
PECOS PAC ID: 2163663048
Enrollment ID: I20191014003091
Provider NameKatie Jo Martin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770970998
PECOS PAC ID: 2163732793
Enrollment ID: I20191031002103
Provider NameChristopher Michael Brown
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518353549
PECOS PAC ID: 5193037166
Enrollment ID: I20191111002854
Provider NameAnnette N Sampson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215241708
PECOS PAC ID: 5991172926
Enrollment ID: I20221104000945
Provider NameTricia Raye Hayden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649994286
PECOS PAC ID: 0446375943
Enrollment ID: I20230620000468
Provider NameLaura Ashley Michielsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518424787
PECOS PAC ID: 6406288521
Enrollment ID: I20231213001249
Provider NameMaret Banks
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1821763137
PECOS PAC ID: 3779935416
Enrollment ID: I20240118002751
Provider NameKarrie Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649624404
PECOS PAC ID: 3577952290
Enrollment ID: I20240125004180
Provider NameJill Goodwin
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1477096386
PECOS PAC ID: 9335585892
Enrollment ID: I20240307000856

Reviews and Comments

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Grand Ronde, OR


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.