Second Wind Mental Health Clinic - Medicare Mental Health Clinic in Winston, OR

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Second Wind Mental Health Clinic is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Winston, Oregon. The current practice location for Second Wind Mental Health Clinic is 11 Sw Brantley Drive, Winston, Oregon. For appointments, you can reach them via phone at (541) 679-0366. The mailing address for Second Wind Mental Health Clinic is 11 Sw Brantley Drive, Winston, Oregon and phone number is (541) 679-0366.

Second Wind Mental Health Clinic is licensed to practice in Oregon (license number 200550033NP). The clinic also participates in the medicare program and its NPI number is 1679957708. 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 (541) 679-0366.

Contact Information

Second Wind Mental Health Clinic
11 Sw Brantley Drive
Winston
OR 97496
(541) 679-0366
(541) 679-4821

Map and Direction


Mental Health Clinic Profile

Full NameSecond Wind Mental Health Clinic
SpecialityClinic/Center
Location11 Sw Brantley Drive, Winston, Oregon
Authorized Official Name and PositionTamara Lee (SINGLE MEMBER LLC)
Authorized Official Contact5416790366
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Second Wind Mental Health Clinic
11 Sw Brantley Drive
Winston
OR 97496

Ph: (541) 679-0366		Second Wind Mental Health Clinic
11 Sw Brantley Drive
Winston
OR 97496

Ph: (541) 679-0366

NPI Details:

NPI Number1679957708
Provider Enumeration Date07/18/2015
Last Update Date11/13/2015

Medicare PECOS Information:

Medicare PECOS PAC ID2769792183
Medicare Enrollment IDO20151113001380

Medical Identifiers

Medical identifiers for Second Wind Mental Health Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679957708NPI-NPPES
363LP0808XMedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) 200550033NP (Oregon)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Second Wind Mental Health Clinic acts as a billing entity for following providers:
Provider NameTamara R Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992720965
PECOS PAC ID: 5698704914
Enrollment ID: I20050808000449
Provider NameAndrea Witham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275982324
PECOS PAC ID: 5799067674
Enrollment ID: I20171228000352
Provider NameLisa Jennings
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1881052876
PECOS PAC ID: 5597026351
Enrollment ID: I20180219002682
Provider NameJenny V Tausch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023649605
PECOS PAC ID: 6608297619
Enrollment ID: I20200529001985
Provider NameMichael Wayne Smith-fernandez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154788065
PECOS PAC ID: 9638583669
Enrollment ID: I20210202001679

Reviews and Comments

Clinic/Center in Winston, OR

Riverside Center
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 671 S.w. Main, Winston, OR 97496
Phone: 541-679-6129    
Stacy J Nielsen, Lcsw, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 11 Sw Brantley Dr, Winston, OR 97496
Phone: 541-679-0366    

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.