Evergreen Family Medicine South - Medicare Primary Care in Myrtle Creek, OR

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Evergreen Family Medicine South is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Myrtle Creek, Oregon. The current practice location for Evergreen Family Medicine South is 145 Ne Broadway St, Myrtle Creek, Oregon. For appointments, you can reach them via phone at (541) 863-3146. The mailing address for Evergreen Family Medicine South is 2801 Nw Mercy Dr, Suite 340, Roseburg, Oregon and phone number is (541) 677-2494.

Evergreen Family Medicine South is licensed to practice in Oregon (license number ). The clinic also participates in the medicare program and its NPI number is 1699103598. 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) 863-3146.

Contact Information

Evergreen Family Medicine South
145 Ne Broadway St
Myrtle Creek
OR 97457-9039
(541) 863-3146
(541) 863-3226

Map and Direction


Primary Care Clinic Profile

Full NameEvergreen Family Medicine South
SpecialityClinic/Center
Location145 Ne Broadway St, Myrtle Creek, Oregon
Authorized Official Name and PositionKim Tyree (COO)
Authorized Official Contact5412293332
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Evergreen Family Medicine South
2801 Nw Mercy Dr
Suite 340
Roseburg
OR 97471-2348

Ph: (541) 677-2494		Evergreen Family Medicine South
145 Ne Broadway St
Myrtle Creek
OR 97457-9039

Ph: (541) 863-3146

NPI Details:

NPI Number1699103598
Provider Enumeration Date10/31/2013
Last Update Date11/22/2016

Medicare PECOS Information:

Medicare PECOS PAC ID9234397878
Medicare Enrollment IDO20140407001744

Medical Identifiers

Medical identifiers for Evergreen Family Medicine South such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699103598NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 71216890 (Oregon)Secondary
207Q00000XFamily Medicine (Oregon)Secondary
261QR1300XClinic/center - Rural Health (Oregon)Primary

Reviews and Comments


Clinic/Center in Myrtle Creek, OR

Mark M Herscher Do
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 145 Ne Broadway, Myrtle Creek, OR 97457
Phone: 541-863-3146    Fax: 541-863-3226

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.