Estacada Direct Primary Care, Llc in Estacada, OR

Estacada Direct Primary Care, Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Estacada, Oregon. The current practice location for Estacada Direct Primary Care, Llc is 107 Nw 5th Ave, Estacada, Oregon. For appointments, you can reach them via phone at (503) 852-5668. The mailing address for Estacada Direct Primary Care, Llc is 107 Nw 5th Ave, Estacada, Oregon and phone number is (503) 852-5668.

Estacada Direct Primary Care, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1801663414. 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) 852-5668.

Contact Information

	Estacada Direct Primary Care, Llc
	107 Nw 5th Ave Estacada OR 97023-7732
	(503) 852-5668
	(971) 399-8728

Map and Direction

Primary Care Clinic Profile

Full Name	Estacada Direct Primary Care, Llc
Speciality	Clinic/Center
Location	107 Nw 5th Ave, Estacada, Oregon
Authorized Official Name and Position	Richard Lee Orth (OWNER)
Authorized Official Contact	5038525668
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Estacada Direct Primary Care, Llc 107 Nw 5th Ave Estacada OR 97023-7732 Ph: (503) 852-5668	Estacada Direct Primary Care, Llc 107 Nw 5th Ave Estacada OR 97023-7732 Ph: (503) 852-5668

NPI Details:

NPI Number	1801663414
Provider Enumeration Date	12/05/2023
Last Update Date	12/05/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	8426400946
Medicare Enrollment ID	O20240121000149

Medical Identifiers

Medical identifiers for Estacada Direct Primary Care, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801663414	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	(* (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. Estacada Direct Primary Care, Llc acts as a billing entity for following providers:

Provider Name	Richard L Orth
Provider Type	Practitioner - Geriatric Medicine
Provider Identifiers	NPI Number: 1750452686 PECOS PAC ID: 6406925247 Enrollment ID: I20080520000008

Reviews and Comments

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Estacada Direct Primary Care, Llc - Medicare Primary Care in Estacada, OR