| Oak Street Health Care Center P C | |
|
446 Oak St Brookings OR 97415-9612 | |
| (541) 412-8898 | |
| (541) 412-7420 |
| Full Name | Oak Street Health Care Center P C |
|---|---|
| Speciality | Family Medicine |
| Location | 446 Oak St, Brookings, Oregon |
| Authorized Official Name and Position | Lee M Wilson (ADMINISTRATOR) |
| Authorized Official Contact | 5414696023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Street Health Care Center P C Po Box 6579 Brookings OR 97415-0285 Ph: (541) 412-8898 | Oak Street Health Care Center P C 446 Oak St Brookings OR 97415-9612 Ph: (541) 412-8898 |
| NPI Number | 1235177288 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 01/22/2010 |
| Medicare PECOS PAC ID | 7416920400 |
|---|---|
| Medicare Enrollment ID | O20040817001440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235177288 | NPI | - | NPPES |
| 228756 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Heidi J Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912906470 PECOS PAC ID: 6608901442 Enrollment ID: I20100317001081 |
| Provider Name | Cheryl Lee Malo-clines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790994697 PECOS PAC ID: 6608039961 Enrollment ID: I20120523000688 |
| Provider Name | Debbra Lynn Forrester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134708753 PECOS PAC ID: 8729487368 Enrollment ID: I20210601002158 |
| Provider Name | Margaret A Gressle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003119132 PECOS PAC ID: 2961648050 Enrollment ID: I20221115002306 |
Alder Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Alder St, Brookings, OR 97415 Phone: 541-469-5919 Fax: 541-469-6710 | |
Sutter Coast Health Clinic @ Brookings-harbor Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 555 5th St, Brookings, OR 97415 Phone: 541-469-9205 Fax: 541-469-9204 | |
Chetco Medical & Aesthetics Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 97825 Shopping Center Ave, Brookings, OR 97415 Phone: 541-412-9800 Fax: 541-412-9300 | |
Seascape Family Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 98158 W Benham Ln, Suite 1, Brookings, OR 97415 Phone: 541-469-0402 | |
Thomas Joseph Martinelli Md A Professional Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 Mill Beach Rd, Brookings, OR 97415 Phone: 707-464-1989 | |
Visana Wellness, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 603 Hemlock Street, 3b, Brookings, OR 97415 Phone: 541-469-9100 Fax: 541-469-9200 |