Holy Family Catholic Clinic, P.s. - Medicare Primary Care in West Linn, OR

Holy Family Catholic Clinic, P.s. is a medicare enrolled primary clinic (Family Medicine) in West Linn, Oregon. The current practice location for Holy Family Catholic Clinic, P.s. is 21810 Willamette Dr, West Linn, Oregon. For appointments, you can reach them via phone at (503) 994-4353. The mailing address for Holy Family Catholic Clinic, P.s. is 21810 Willamette Dr, West Linn, Oregon and phone number is (503) 994-4353.

Holy Family Catholic Clinic, P.s. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1619588175. 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) 994-4353.

Contact Information

Holy Family Catholic Clinic, P.s.
21810 Willamette Dr
West Linn
OR 97068-3256
(503) 994-4353
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameHoly Family Catholic Clinic, P.s.
SpecialityFamily Medicine
Location21810 Willamette Dr, West Linn, Oregon
Authorized Official Name and PositionJessica Jose (BUSINESS MANAGER)
Authorized Official Contact5039944353
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Holy Family Catholic Clinic, P.s.
21810 Willamette Dr
West Linn
OR 97068-3256

Ph: (503) 994-4353
Holy Family Catholic Clinic, P.s.
21810 Willamette Dr
West Linn
OR 97068-3256

Ph: (503) 994-4353

NPI Details:

NPI Number1619588175
Provider Enumeration Date08/10/2020
Last Update Date08/10/2020

Medicare PECOS Information:

Medicare PECOS PAC ID4587083779
Medicare Enrollment IDO20201008000826

Medical Identifiers

Medical identifiers for Holy Family Catholic Clinic, P.s. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619588175NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Holy Family Catholic Clinic, P.s. acts as a billing entity for following providers:
Provider NameMichael G Sherman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205866589
PECOS PAC ID: 0547256869
Enrollment ID: I20040422000691
Provider NameWilliam L Toffler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891700308
PECOS PAC ID: 4284792250
Enrollment ID: I20081020000378
Provider NameMary F Conedera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942433933
PECOS PAC ID: 6406991140
Enrollment ID: I20100304000955
Provider NameKristin J Burgher
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356598239
PECOS PAC ID: 9638358963
Enrollment ID: I20110119000586
Provider NameGrace E Jazrawi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720213366
PECOS PAC ID: 7113177262
Enrollment ID: I20171020001317
Provider NameJames C Trott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053806653
PECOS PAC ID: 9931532025
Enrollment ID: I20191203002730
Provider NameMark F Mailhot
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861534075
PECOS PAC ID: 7113020173
Enrollment ID: I20191218001354
Provider NameBenedicta Nneoma Nnodum
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467972273
PECOS PAC ID: 0648544171
Enrollment ID: I20201103002255

Reviews and Comments


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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.