Strawberry Wilderness Community Clinic - Medicare Primary Care in John Day, OR

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Strawberry Wilderness Community Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in John Day, Oregon. The current practice location for Strawberry Wilderness Community Clinic is 180 Ford Rd, John Day, Oregon. For appointments, you can reach them via phone at (541) 575-0404. The mailing address for Strawberry Wilderness Community Clinic is 180 Ford Rd, John Day, Oregon and phone number is (541) 575-0404.

Strawberry Wilderness Community Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1568536035. 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) 575-0404.

Contact Information

Strawberry Wilderness Community Clinic
180 Ford Rd
John Day
OR 97845-2009
(541) 575-0404
(541) 575-1124

Map and Direction


Primary Care Clinic Profile

Full NameStrawberry Wilderness Community Clinic
SpecialityClinic/Center
Location180 Ford Rd, John Day, Oregon
Authorized Official Name and PositionEric James Price (CFO)
Authorized Official Contact9074248228
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Strawberry Wilderness Community Clinic
180 Ford Rd
John Day
OR 97845-2009

Ph: (541) 575-0404		Strawberry Wilderness Community Clinic
180 Ford Rd
John Day
OR 97845-2009

Ph: (541) 575-0404

NPI Details:

NPI Number1568536035
Provider Enumeration Date11/17/2006
Last Update Date08/12/2022

Medicare PECOS Information:

Medicare PECOS PAC ID5193719219
Medicare Enrollment IDO20040412001588

Medical Identifiers

Medical identifiers for Strawberry Wilderness Community Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568536035NPI-NPPES
213078MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Strawberry Wilderness Community Clinic acts as a billing entity for following providers:
Provider NameEddy K Young
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1710967633
PECOS PAC ID: 8426961418
Enrollment ID: I20031111000506
Provider NameBruce A Mclellan
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1043290398
PECOS PAC ID: 4981517976
Enrollment ID: I20031111000825
Provider NameGary P Foster
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1730192378
PECOS PAC ID: 9133027642
Enrollment ID: I20031222000551
Provider NameChristopher Zoolkoski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275544892
PECOS PAC ID: 0648166736
Enrollment ID: I20040226000738
Provider NameNicholas L Gideonse
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639184146
PECOS PAC ID: 8123016276
Enrollment ID: I20040505001499
Provider NameCornelius J Peeples
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1245341734
PECOS PAC ID: 3577518927
Enrollment ID: I20050317001029
Provider NameAndrew Gerard Janssen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003891524
PECOS PAC ID: 9436194388
Enrollment ID: I20050909000560
Provider NameAndrea G Janssen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831131713
PECOS PAC ID: 1759279896
Enrollment ID: I20060214000132
Provider NameCristino O Rodriguez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841228145
PECOS PAC ID: 2567568140
Enrollment ID: I20070427000123
Provider NameJames C Laughlin
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1679775639
PECOS PAC ID: 1951492446
Enrollment ID: I20070813000722
Provider NameBrett T Mumford
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1164463113
PECOS PAC ID: 4880592112
Enrollment ID: I20071023000415
Provider NameJianming Song
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073702817
PECOS PAC ID: 5991885360
Enrollment ID: I20080110000537
Provider NameMitchell V Brinks
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1891870697
PECOS PAC ID: 0143240978
Enrollment ID: I20080319000325
Provider NameJuergen Lang
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1053471102
PECOS PAC ID: 3375615719
Enrollment ID: I20080708000060
Provider NameJesse Jarnes
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1215174669
PECOS PAC ID: 0345303210
Enrollment ID: I20090120000717
Provider NameDwight W Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033122734
PECOS PAC ID: 3678625027
Enrollment ID: I20090715000358
Provider NameZachary Bailey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942492426
PECOS PAC ID: 0345334595
Enrollment ID: I20090803000538
Provider NameRebecca E Jarnes
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1801036199
PECOS PAC ID: 0244397016
Enrollment ID: I20111215000490
Provider NameEmily A Lieuallen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669786174
PECOS PAC ID: 9234379678
Enrollment ID: I20131027000003
Provider NameDaniel Sedehi
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1568644524
PECOS PAC ID: 8224191234
Enrollment ID: I20140616002471
Provider NameRodney V Carpenter
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1194951525
PECOS PAC ID: 7113071093
Enrollment ID: I20140627001189
Provider NameOliver J Wisco
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1164545166
PECOS PAC ID: 5294967725
Enrollment ID: I20140829002296
Provider NameAllen Rafael
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1962408526
PECOS PAC ID: 0648351825
Enrollment ID: I20141215002545
Provider NameMelissa T Gunasekera
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1417129925
PECOS PAC ID: 6103094834
Enrollment ID: I20150710000943
Provider NameJanessa S Sickler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124360664
PECOS PAC ID: 8628378411
Enrollment ID: I20151201000616
Provider NameBrian H Mott
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1811126782
PECOS PAC ID: 4284889114
Enrollment ID: I20160711001153
Provider NameJill Olinger
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1396745303
PECOS PAC ID: 6204861131
Enrollment ID: I20170810000553
Provider NameTrung Q Nguyen
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1972768711
PECOS PAC ID: 0941480933
Enrollment ID: I20181121000112
Provider NameNicholas I Buss
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1346414752
PECOS PAC ID: 0840468963
Enrollment ID: I20190520002588
Provider NameChong S Lee
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1497818025
PECOS PAC ID: 5597895359
Enrollment ID: I20190726000462
Provider NameJillian Roxanna Foley
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1972750206
PECOS PAC ID: 0749453264
Enrollment ID: I20191018002527
Provider NameMatthew Ryan Clark
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1194162230
PECOS PAC ID: 1153564380
Enrollment ID: I20191224000409
Provider NameImudia Ehanire
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1427285311
PECOS PAC ID: 2466741640
Enrollment ID: I20200312001201
Provider NameErika Nichole Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174163356
PECOS PAC ID: 9830528033
Enrollment ID: I20200415000513
Provider NameRobyn Jennings
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558741975
PECOS PAC ID: 3971817198
Enrollment ID: I20200818001507
Provider NameCaitlin Maccoun
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376906586
PECOS PAC ID: 3678851946
Enrollment ID: I20200820000510
Provider NameBrian Jennings
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386024800
PECOS PAC ID: 8921316456
Enrollment ID: I20200821000230
Provider NameMichael H.a. Sultan
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1538505326
PECOS PAC ID: 3577837921
Enrollment ID: I20200908000550
Provider NameAndrew T. Harger
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1700016540
PECOS PAC ID: 9537317755
Enrollment ID: I20200915002818
Provider NameJames Roland Cook
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912509829
PECOS PAC ID: 3971917212
Enrollment ID: I20210128001436
Provider NameDaniel Hanson
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1245420876
PECOS PAC ID: 8527231273
Enrollment ID: I20210324002989
Provider NameDaniel Gay
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1679716591
PECOS PAC ID: 0446484653
Enrollment ID: I20210430001242
Provider NameMichael Philippe-auguste
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1588041982
PECOS PAC ID: 7012249006
Enrollment ID: I20210723001454
Provider NameCharles Price
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982138798
PECOS PAC ID: 3375875412
Enrollment ID: I20211027001026
Provider NameJustin J Watson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1760748008
PECOS PAC ID: 0143467779
Enrollment ID: I20220401000246
Provider NameGillian Seton
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1760635817
PECOS PAC ID: 1658511860
Enrollment ID: I20221011001787
Provider NameMichelle Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871145896
PECOS PAC ID: 3779815766
Enrollment ID: I20221129000947
Provider NameKendel Margart
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1831758168
PECOS PAC ID: 5597163386
Enrollment ID: I20230531001747
Provider NameDemetria L Rutledge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821503111
PECOS PAC ID: 3577801059
Enrollment ID: I20231211002372
Provider NamePaula Godfrey
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1801831136
PECOS PAC ID: 2961501069
Enrollment ID: I20231227001906
Provider NameAnna M Mcluen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174936082
PECOS PAC ID: 0941524235
Enrollment ID: I20240115000444

Reviews and Comments


Clinic/Center in John Day, OR

Brown Healthcare
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 59526 Vista Ln, John Day, OR 97845
Phone: 541-788-5498    
Mountain Valley Eye Care
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 401 W Main St, Suite A, John Day, OR 97845
Phone: 541-575-1819    Fax: 541-575-0965
Canyon Creek Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 235 S Canyon Blvd, John Day, OR 97845
Phone: 541-575-1263    Fax: 541-575-0233
Grant County Health Department
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 528 E Main St, Suite E, John Day, OR 97845
Phone: 541-575-0429    
Russel Nichols, Md, Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 135 Ford Rd, John Day, OR 97845
Phone: 541-575-2669    Fax: 541-575-2743
Blue Mountain Chiropractic Health Center Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 155 Nw 1st Ave, John Day, OR 97845
Phone: 541-575-1063    Fax: 541-575-5554

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.