<unavail> in Bend, OR - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Bend, Oregon. The current practice location for is 1345 Nw Wall St, Suite 302, Bend, Oregon. For appointments, you can reach them via phone at (541) 323-3960. The mailing address for is 1345 Nw Wall St, Suite 302, Bend, Oregon and phone number is (541) 323-3960.

is licensed to practice in Oregon (license number DO 155003). The clinic also participates in the medicare program and its NPI number is 1740654086. 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) 323-3960.

Contact Information


	1345 Nw Wall St Suite 302 Bend OR 97703-1972
	(541) 323-3960
	(541) 323-3961

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1345 Nw Wall St, Bend, Oregon
Authorized Official Name and Position	Mark Edward Gonsky (OWNER)
Authorized Official Contact	5413233960
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1345 Nw Wall St Suite 302 Bend OR 97703-1972 Ph: (541) 323-3960	1345 Nw Wall St Suite 302 Bend OR 97703-1972 Ph: (541) 323-3960

NPI Details:

NPI Number	1740654086
Provider Enumeration Date	11/24/2015
Last Update Date	01/10/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	5890097455
Medicare Enrollment ID	O20160113002588

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740654086	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	DO 155003 (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. acts as a billing entity for following providers:

Provider Name	Mark Gonsky
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1841464203 PECOS PAC ID: 2466611629 Enrollment ID: I20120307000260

Provider Name	Alexandria Rose Gientke
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1114779550 PECOS PAC ID: 7214474931 Enrollment ID: I20240731000346

Reviews and Comments

Clinic/Center in Bend, OR

Pine Springs Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 Ne Irving Ave, Bend, OR 97701 Phone: 541-330-9110
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2577 Ne Courtney Dr Ste 100, Bend, OR 97701 Phone: 541-383-3005
Adam Derr, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 528 Ne Greenwood Ave, Bend, OR 97701 Phone: 541-385-7890 Fax: 541-388-2606
Driven Enterprises Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20700 Wandalea Dr, Bend, OR 97701 Phone: 435-669-2930
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1239 Ne Medical Center Dr Ste 240, Bend, OR 97701 Phone: 541-749-2282 Fax: 541-749-2283
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 Ne Neff Rd, Bend, OR 97701 Phone: 541-706-3700 Fax: 541-706-3730

- Medicare Primary Care in Bend, OR