- Medicare Primary Care in Goldendale, WA

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is a medicare enrolled primary clinic (Clinic/center) in Goldendale, Washington. The current practice location for is 317 Sanders Way, Goldendale, Washington. For appointments, you can reach them via phone at (509) 773-4022. The mailing address for is 310 S Roosevelt Ave, Goldendale, Washington and phone number is (509) 773-4022.

is licensed to practice in Washington (license number 202000768). The clinic also participates in the medicare program and its NPI number is 1467530915. 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 (509) 773-4022.

Contact Information

317 Sanders Way
Goldendale
WA 98620-9053
(509) 773-4022
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location317 Sanders Way, Goldendale, Washington
Authorized Official Name and PositionLeslie Hiebert (CEO)
Authorized Official Contact5097734022
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

310 S Roosevelt Ave
Goldendale
WA 98620-9201

Ph: (509) 773-4022
317 Sanders Way
Goldendale
WA 98620-9053

Ph: (509) 773-4022

NPI Details:

NPI Number1467530915
Provider Enumeration Date11/01/2006
Last Update Date03/20/2015

Medicare PECOS Information:

Medicare PECOS PAC ID0648164269
Medicare Enrollment IDO20040212000690

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467530915NPI-NPPES
7076862MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 202000768 (Washington)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 NameWilliam Brueggemann
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1285716217
PECOS PAC ID: 6709862725
Enrollment ID: I20041110001100
Provider NameShona E Lowell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598710840
PECOS PAC ID: 3779523162
Enrollment ID: I20050504001274
Provider NameMark W Livingston
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1679656615
PECOS PAC ID: 4688605421
Enrollment ID: I20050822001211
Provider NameKimberly A Carr Yeates
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1114903937
PECOS PAC ID: 2961425830
Enrollment ID: I20060105000707
Provider NamePeter G Andress
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1508819855
PECOS PAC ID: 5092727172
Enrollment ID: I20060609000061
Provider NameTroy R Witherrite
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073550323
PECOS PAC ID: 9032113394
Enrollment ID: I20060830000020
Provider NameKerry C Biermann
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437299088
PECOS PAC ID: 8224922604
Enrollment ID: I20090715000130
Provider NameTodd J Baumeister
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1063403897
PECOS PAC ID: 4284770744
Enrollment ID: I20091014000212
Provider NameKevin S Wei
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1962418574
PECOS PAC ID: 0547285587
Enrollment ID: I20091113000397
Provider NameRebecca Nelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366593311
PECOS PAC ID: 2365576485
Enrollment ID: I20100811000642
Provider NameEdward H Piepmeier
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467421156
PECOS PAC ID: 4385640820
Enrollment ID: I20120725000716
Provider NameRachel V Hampton
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1588980429
PECOS PAC ID: 1153564745
Enrollment ID: I20130829000622
Provider NameSamuel M. Donohoe
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073806865
PECOS PAC ID: 1759521727
Enrollment ID: I20140827000816
Provider NameJames A Morrow
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043360480
PECOS PAC ID: 7517871874
Enrollment ID: I20141015001678
Provider NameRussell M Smith
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1669440772
PECOS PAC ID: 7416273792
Enrollment ID: I20150304000307
Provider NameTeresa Stone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699843920
PECOS PAC ID: 9335294743
Enrollment ID: I20150520002338
Provider NameJennifer L First
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366836728
PECOS PAC ID: 6901127968
Enrollment ID: I20150603001651
Provider NameNicole Marie Campbell
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1154651925
PECOS PAC ID: 2860535523
Enrollment ID: I20150630003128
Provider NameKrystal L Plotts
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386955441
PECOS PAC ID: 1759528656
Enrollment ID: I20161229000694
Provider NamePaul M Guernsey
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1235543836
PECOS PAC ID: 2365768579
Enrollment ID: I20170724001926
Provider NameMary Elizabeth Kazee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922412840
PECOS PAC ID: 8527332600
Enrollment ID: I20191009001100
Provider NameNeal R Abarbanell
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1659367142
PECOS PAC ID: 1658364005
Enrollment ID: I20200127001952
Provider NameJeffrey Shigeru Tanita
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1922040443
PECOS PAC ID: 1850314469
Enrollment ID: I20200406000356
Provider NameBarbara Jean Macgillivray
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1679108609
PECOS PAC ID: 8820428600
Enrollment ID: I20200417002548
Provider NameJames Wickerath
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1780610915
PECOS PAC ID: 5991928962
Enrollment ID: I20200420000560
Provider NameAnne Marie Mclellan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1548590813
PECOS PAC ID: 6800066291
Enrollment ID: I20200521000324
Provider NameGerald Yutzy
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1821049420
PECOS PAC ID: 3779479332
Enrollment ID: I20201201002228
Provider NameWeichin Chen
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1841497260
PECOS PAC ID: 6002053725
Enrollment ID: I20210910002245
Provider NameAnusha R Iyer
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1275065476
PECOS PAC ID: 5496094328
Enrollment ID: I20220119001937
Provider NameJohannah Gregg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790456895
PECOS PAC ID: 7618375080
Enrollment ID: I20220608000533
Provider NameDallas D Regan
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1053323170
PECOS PAC ID: 0648276055
Enrollment ID: I20221028000455
Provider NameRachel Sonne
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023300431
PECOS PAC ID: 7517112105
Enrollment ID: I20230831000500
Provider NameAkinyinka Abidem Ajelabi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841227808
PECOS PAC ID: 8729044789
Enrollment ID: I20231109003141
Provider NameAlyson L Redman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114120680
PECOS PAC ID: 9335232487
Enrollment ID: I20231113001686
Provider NameJennifer L Bomberger
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1871855221
PECOS PAC ID: 7214371210
Enrollment ID: I20240218000141
Provider NameJohn J Nebeker
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1356088702
PECOS PAC ID: 3274970751
Enrollment ID: I20240319003753
Provider NameMarisa Wickerath
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1962088641
PECOS PAC ID: 7810391703
Enrollment ID: I20240718001571
Provider NameKevin Knopp
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1114193489
PECOS PAC ID: 2860564978
Enrollment ID: I20240822001478

Reviews and Comments


Clinic/Center in Goldendale, WA


Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 317 Sanders Way, Goldendale, WA 98620
Phone: 509-773-4017    Fax: 509-773-1941
Serenity Health Acupuncture
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Medicare: Not Enrolled in Medicare
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Phone: 509-314-0373    Fax: 888-611-7881
K-c Pharmacy Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 104 W Main St, Goldendale, WA 98620
Phone: 509-773-4344    
K-c Health Services Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 104 W Main St, Goldendale, WA 98620
Phone: 509-773-4344    Fax: 509-773-4555

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 310 S Roosevelt Ave, Goldendale, WA 98620
Phone: 509-773-4022    Fax: 509-773-1941

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 317 Sanders Way, Goldendale, WA 98620
Phone: 541-296-1111    

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.