<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 339 Sw Century Dr Ste 201, Bend, Oregon. For appointments, you can reach them via phone at (541) 316-5693. The mailing address for is 2947 Ne Yellow Ribbon Dr, Bend, Oregon and phone number is (970) 275-6108.

is licensed to practice in Oregon (license number 201407546NP-PP). The clinic also participates in the medicare program and its NPI number is 1477051795. 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) 316-5693.

Contact Information


	339 Sw Century Dr Ste 201 Bend OR 97702-1338
	(541) 316-5693
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	339 Sw Century Dr Ste 201, Bend, Oregon
Authorized Official Name and Position	Havilah Noel Brodhead (CO-OWNER)
Authorized Official Contact	9702756108
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2947 Ne Yellow Ribbon Dr Bend OR 97701-7657 Ph: (970) 275-6108	339 Sw Century Dr Ste 201 Bend OR 97702-1338 Ph: (541) 316-5693

NPI Details:

NPI Number	1477051795
Provider Enumeration Date	02/01/2018
Last Update Date	02/04/2025

Medicare PECOS Information:

Medicare PECOS PAC ID	5597095620
Medicare Enrollment ID	O20191002002684

Medical Identifiers

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

Identifier	Type	State	Issuer
1477051795	NPI	-	NPPES
500678393	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	201407546NP-PP (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	Jeremy L Brodhead
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1801272513 PECOS PAC ID: 3072814177 Enrollment ID: I20151215000747

Provider Name	Havilah Noel Brodhead
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1841584844 PECOS PAC ID: 6305169442 Enrollment ID: I20191002002827

Provider Name	Marie Elise Mency
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1932567880 PECOS PAC ID: 0648511832 Enrollment ID: I20210428001053

Reviews and Comments

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- Medicare Primary Care in Bend, OR