North Basin Medical Clinics--reardan Clinic - Medicare Primary Care in Reardan, WA

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North Basin Medical Clinics--reardan Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Reardan, Washington. The current practice location for North Basin Medical Clinics--reardan Clinic is 550 E Broadway Ave, Reardan, Washington. For appointments, you can reach them via phone at (509) 796-2737. The mailing address for North Basin Medical Clinics--reardan Clinic is 10 Nicholls St, Davenport, Washington and phone number is (509) 725-7501.

North Basin Medical Clinics--reardan Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1639113830. 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) 796-2737.

Contact Information

North Basin Medical Clinics--reardan Clinic
550 E Broadway Ave
Reardan
WA 99029
(509) 796-2737
(509) 796-2738

Map and Direction


Primary Care Clinic Profile

Full NameNorth Basin Medical Clinics--reardan Clinic
SpecialityClinic/Center
Location550 E Broadway Ave, Reardan, Washington
Authorized Official Name and PositionTyson E Lacy (CEO, ADMINISTRATOR)
Authorized Official Contact5097257101
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
North Basin Medical Clinics--reardan Clinic
10 Nicholls St
Davenport
WA 99122-9729

Ph: (509) 725-7501		North Basin Medical Clinics--reardan Clinic
550 E Broadway Ave
Reardan
WA 99029

Ph: (509) 796-2737

NPI Details:

NPI Number1639113830
Provider Enumeration Date06/16/2006
Last Update Date07/18/2022

Medicare PECOS Information:

Medicare PECOS PAC ID3971591199
Medicare Enrollment IDO20040505000483

Medical Identifiers

Medical identifiers for North Basin Medical Clinics--reardan Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639113830NPI-NPPES
7101132MedicaidWA
CJ6525OtherWAMEDICARE RAILROAD
7117450MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine H-137 (Washington)Secondary
261QR1300XClinic/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. North Basin Medical Clinics--reardan Clinic acts as a billing entity for following providers:
Provider NameRichard Parker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477698918
PECOS PAC ID: 0941289433
Enrollment ID: I20040719000037
Provider NameStacia J Soliday
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700829843
PECOS PAC ID: 8325095003
Enrollment ID: I20050405000655
Provider NameChad C Barrett
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053350660
PECOS PAC ID: 3173541232
Enrollment ID: I20051107000927
Provider NameSteven W Beckstrom
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1316033210
PECOS PAC ID: 1557378411
Enrollment ID: I20060317000111
Provider NameLynn Kohlmeier
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1528026820
PECOS PAC ID: 7315959236
Enrollment ID: I20060615000351
Provider NameChad A Mongrain
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720028244
PECOS PAC ID: 0840202453
Enrollment ID: I20060623000244
Provider NameAmy J Hiestand
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124140116
PECOS PAC ID: 3678670031
Enrollment ID: I20070521000238
Provider NameFrederick J Reed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467411157
PECOS PAC ID: 4385724780
Enrollment ID: I20080110000068
Provider NameSandra Friendshuh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467562413
PECOS PAC ID: 7214039676
Enrollment ID: I20080925000150
Provider NameJames N Dunlap
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1740256759
PECOS PAC ID: 5092706655
Enrollment ID: I20081114000690
Provider NameDonella S Young
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073554119
PECOS PAC ID: 3779618921
Enrollment ID: I20100312001038
Provider NameRolf K Panke
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396782272
PECOS PAC ID: 3476689076
Enrollment ID: I20100408000245
Provider NameRebecca D Mallo
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1225295397
PECOS PAC ID: 8224211982
Enrollment ID: I20110318000114
Provider NameTodd Douglas Corn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366409500
PECOS PAC ID: 4082674650
Enrollment ID: I20111121000600
Provider NameAmy A Eddy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508179482
PECOS PAC ID: 7618102088
Enrollment ID: I20131022000064
Provider NameDeepika Gupta
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1457616443
PECOS PAC ID: 4587984273
Enrollment ID: I20170619000869
Provider NamePaul F Travis
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1346732633
PECOS PAC ID: 7113271206
Enrollment ID: I20181107003451
Provider NameRaaj Kiran Ruparel
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1174819593
PECOS PAC ID: 1658590856
Enrollment ID: I20191219003153
Provider NameKaren E Keith
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992215388
PECOS PAC ID: 7416215652
Enrollment ID: I20220503000450
Provider NameKarl Howard Olson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1508846353
PECOS PAC ID: 1456439546
Enrollment ID: I20220817001588
Provider NameBrian P Yoon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841790268
PECOS PAC ID: 6709125966
Enrollment ID: I20220919001120
Provider NameLaura Jean Wittmann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295217289
PECOS PAC ID: 2466796537
Enrollment ID: I20231229002338
Provider NameKara B Wesebaum
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114410073
PECOS PAC ID: 6103368006
Enrollment ID: I20240606003118

Reviews and Comments


Clinic/Center in Reardan, WA


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.