<unavail> in Lincoln City, OR - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Lincoln City, Oregon. The current practice location for is 4422 Ne Devils Lake Blvd Ste 2, Lincoln City, Oregon. For appointments, you can reach them via phone at (541) 265-4947. The mailing address for is 36 Sw Nye St, Newport, Oregon and phone number is (541) 265-0445.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1205161007. 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) 265-4947.

Contact Information


	4422 Ne Devils Lake Blvd Ste 2 Lincoln City OR 97367-5000
	(541) 265-4947
	(541) 994-0261

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	4422 Ne Devils Lake Blvd Ste 2, Lincoln City, Oregon
Authorized Official Name and Position	Lesa Wagner (CREDENTIALING SPECIALIST)
Authorized Official Contact	5412650445
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
36 Sw Nye St Newport OR 97365-3821 Ph: (541) 265-0445	4422 Ne Devils Lake Blvd Ste 2 Lincoln City OR 97367-5000 Ph: (541) 265-4947

NPI Details:

NPI Number	1205161007
Provider Enumeration Date	10/12/2009
Last Update Date	04/07/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	3375439862
Medicare Enrollment ID	O20060921000414

Medical Identifiers

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

Identifier	Type	State	Issuer
1205161007	NPI	-	NPPES
213144	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary
261QM0801X	Clinic/center - Mental Health (including Community Mental Health Center)	(* (Not Available))	Secondary
261QM0850X	Clinic/center - Adult Mental Health	(* (Not Available))	Secondary
261QM0855X	Clinic/center - Adolescent And Children Mental Health	(* (Not Available))	Secondary
261QP0905X	Clinic/center - Public Health, State Or Local	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Lincoln City, OR

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2930 Ne West Devils Lake Rd, Suite 3, Lincoln City, OR 97367 Phone: 541-996-7111
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3015 Ne West Devils Lake Road, Coastal Health Practitioners, Lincoln City, OR 97367 Phone: 541-994-5591 Fax: 541-996-7294
Samaritan North Lincoln Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Ne 28th St, Lincoln City, OR 97367 Phone: 541-768-7900
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2870 Ne West Devils Lake Rd, Suite B, Lincoln City, OR 97367 Phone: 541-557-6490
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3780 Se Spy Glass Ridge Dr, Lincoln City, OR 97367 Phone: 541-996-2311 Fax: 541-557-1643
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 825 Nw Highway 101 Ste A, Lincoln City, OR 97367 Phone: 541-996-7480 Fax: 541-557-6439

- Medicare Primary Care in Lincoln City, OR