Pacific Medical Specialty Group - Medicare Primary Care in Elma, WA

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Pacific Medical Specialty Group is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Elma, Washington. The current practice location for Pacific Medical Specialty Group is 1117 W Young St, Elma, Washington. For appointments, you can reach them via phone at (503) 805-8865. The mailing address for Pacific Medical Specialty Group is 1117 W Young St, Elma, Washington and phone number is () -.

Pacific Medical Specialty Group is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1548911811. 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 (503) 805-8865.

Contact Information

Pacific Medical Specialty Group
1117 W Young St
Elma
WA 98541-9090
(503) 805-8865
Not Available

Map and Direction


Primary Care Clinic Profile

Full NamePacific Medical Specialty Group
SpecialityClinic/Center
Location1117 W Young St, Elma, Washington
Authorized Official Name and PositionStanley Flemming (CMO)
Authorized Official Contact2535646675
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pacific Medical Specialty Group
1117 W Young St
Elma
WA 98541-9090

Ph: () -		Pacific Medical Specialty Group
1117 W Young St
Elma
WA 98541-9090

Ph: (503) 805-8865

NPI Details:

NPI Number1548911811
Provider Enumeration Date01/18/2022
Last Update Date03/14/2022

Medicare PECOS Information:

Medicare PECOS PAC ID2365838364
Medicare Enrollment IDO20220330002418

Medical Identifiers

Medical identifiers for Pacific Medical Specialty Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548911811NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (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. Pacific Medical Specialty Group acts as a billing entity for following providers:
Provider NameArthur B Lee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942225982
PECOS PAC ID: 3577451335
Enrollment ID: I20070809000692
Provider NameStanley Lalit Kumar Flemming
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790803443
PECOS PAC ID: 7214828797
Enrollment ID: I20120504000032
Provider NameAnne M Gitchel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548501968
PECOS PAC ID: 4587809215
Enrollment ID: I20140307001340
Provider NameCharles K Minn
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1508119736
PECOS PAC ID: 4082935838
Enrollment ID: I20151014001034
Provider NameMyra Drew Carreon
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1679767677
PECOS PAC ID: 8224152301
Enrollment ID: I20170120002353
Provider NameEunjin Lipton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962952036
PECOS PAC ID: 9830473362
Enrollment ID: I20170301001949
Provider NameTara Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841863289
PECOS PAC ID: 1355730771
Enrollment ID: I20221011001615
Provider NameChristina Marie Borselli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891348181
PECOS PAC ID: 6608242276
Enrollment ID: I20221024000196
Provider NameCaleb T Chu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316668320
PECOS PAC ID: 6709250772
Enrollment ID: I20230315001347
Provider NamePavel Vladimirovich Kolpikov
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386274348
PECOS PAC ID: 6800260654
Enrollment ID: I20230320000690
Provider NameOksana Nesterenko
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1871229047
PECOS PAC ID: 3577937960
Enrollment ID: I20230327001467
Provider NameNahid A Omer
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1851097893
PECOS PAC ID: 3870985328
Enrollment ID: I20230629003098
Provider NameAchashman Berihun
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1063199842
PECOS PAC ID: 0042674525
Enrollment ID: I20230918000328
Provider NameShameera Shaik Masthan
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1205516440
PECOS PAC ID: 4789038894
Enrollment ID: I20230922003079
Provider NameNeriza Gomez Mercado
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1285314179
PECOS PAC ID: 9436504800
Enrollment ID: I20231005001425
Provider NameVinicia Anne Conway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255027041
PECOS PAC ID: 5294180998
Enrollment ID: I20231016002990
Provider NameAgnes Rodrigues
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306322862
PECOS PAC ID: 8921471665
Enrollment ID: I20231017000848
Provider NameDejene Fenta Abetew
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316631450
PECOS PAC ID: 8729435938
Enrollment ID: I20231109002122
Provider NameLucas Marian Kogut
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1225753684
PECOS PAC ID: 9638528102
Enrollment ID: I20231208001535
Provider NameJoseph Mayimba Mangala
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134993256
PECOS PAC ID: 2769828623
Enrollment ID: I20240313003840
Provider NameWendwesen Kassa Lemma
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952183592
PECOS PAC ID: 0244677623
Enrollment ID: I20240320003730

Reviews and Comments


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Olympic Valley Clinic, Pllc
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Phone: 360-346-2222    Fax: 360-346-2163

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.