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

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Lebanon, Oregon. The current practice location for is 3400 Cooperative Way, Lebanon, Oregon. For appointments, you can reach them via phone at (541) 666-3305. The mailing address for is Po Box 4858, Portland, Oregon and phone number is (541) 500-2555.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1104490887. 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) 666-3305.

Contact Information


	3400 Cooperative Way Lebanon OR 97355-4063
	(541) 666-3305
	(541) 666-3306

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	3400 Cooperative Way, Lebanon, Oregon
Authorized Official Name and Position	Erica Hauser (CFO)
Authorized Official Contact	3125905372
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 4858 Portland OR 97208-4858 Ph: (541) 500-2555	3400 Cooperative Way Lebanon OR 97355-4063 Ph: (541) 666-3305

NPI Details:

NPI Number	1104490887
Provider Enumeration Date	05/17/2021
Last Update Date	06/20/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	1355406729
Medicare Enrollment ID	O20210611001636

Medical Identifiers

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

Identifier	Type	State	Issuer
1104490887	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	(* (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. acts as a billing entity for following providers:

Provider Name	Kerry L Bayes
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1275927923 PECOS PAC ID: 1153632757 Enrollment ID: I20180306000558

Reviews and Comments

Clinic/Center in Lebanon, OR

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 675 N 5th St Ste 200, Lebanon, OR 97355 Phone: 541-451-6282
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Santiam Hwy, Lebanon, OR 97355 Phone: 541-451-6413 Fax: 541-812-2041
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Reeves Pkwy, Lebanon, OR 97355 Phone: 541-258-0221 Fax: 541-981-5187
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Mullins Dr Ste A1, Lebanon, OR 97355 Phone: 541-451-6920 Fax: 541-451-6924
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 E Ash St, Lebanon, OR 97355 Phone: 503-769-2641 Fax: 503-769-3797
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 191 N Main St, Lebanon, OR 97355 Phone: 541-451-7940

- Medicare Primary Care in Lebanon, OR