- Medicare Primary Care in Tigard, OR

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is a medicare enrolled primary clinic (General Practice) in Tigard, Oregon. The current practice location for is 11958 Sw Garden Pl, Tigard, Oregon. For appointments, you can reach them via phone at (503) 684-8252. The mailing address for is 11958 Sw Garden Pl, Tigard, Oregon and phone number is (503) 684-8252.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1023582178. 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) 684-8252.

Contact Information

11958 Sw Garden Pl
Tigard
OR 97223-8248
(503) 684-8252
(866) 859-8195

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityGeneral Practice
Location11958 Sw Garden Pl, Tigard, Oregon
Authorized Official Name and PositionAaron Crane (CFO)
Authorized Official Contact5036848252
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

11958 Sw Garden Pl
Tigard
OR 97223-8248

Ph: (503) 684-8252
11958 Sw Garden Pl
Tigard
OR 97223-8248

Ph: (503) 684-8252

NPI Details:

NPI Number1023582178
Provider Enumeration Date01/11/2019
Last Update Date04/17/2024

Medicare PECOS Information:

Medicare PECOS PAC ID1759731383
Medicare Enrollment IDO20240612001355

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023582178NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (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. acts as a billing entity for following providers:
Provider NamePatrick Grimsley
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1669416723
PECOS PAC ID: 0941286942
Enrollment ID: I20040629001097
Provider NameKelli J Westcott
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1760432751
PECOS PAC ID: 9032195797
Enrollment ID: I20060328000152
Provider NameAmy S Kaluza
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1437355229
PECOS PAC ID: 1759470487
Enrollment ID: I20071221000487
Provider NameMark E Zeitzer
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1437174307
PECOS PAC ID: 4486683927
Enrollment ID: I20080603000427
Provider NameAlma Draper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285897009
PECOS PAC ID: 6103990742
Enrollment ID: I20080731000133
Provider NameRichard Mccollum
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1659302289
PECOS PAC ID: 6002810512
Enrollment ID: I20090108000673
Provider NameKrista A Swaninger
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1457571101
PECOS PAC ID: 8527158591
Enrollment ID: I20090415000683
Provider NameKatherine J Schoonover
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811205248
PECOS PAC ID: 9739357799
Enrollment ID: I20110718000384
Provider NameSophia B Cording
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538440359
PECOS PAC ID: 4880868942
Enrollment ID: I20111129000796
Provider NameMatthew P Davey
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1861789281
PECOS PAC ID: 5799908497
Enrollment ID: I20140528000648
Provider NameJessica Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134467368
PECOS PAC ID: 5092953091
Enrollment ID: I20140609002507
Provider NameNora E Swinburne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427320902
PECOS PAC ID: 7113149626
Enrollment ID: I20141118002369
Provider NameKendra C Parkin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689004053
PECOS PAC ID: 1456676477
Enrollment ID: I20150216001960
Provider NameSarah G Keating
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679966634
PECOS PAC ID: 9436440658
Enrollment ID: I20160620000720
Provider NameErin Steiner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043668940
PECOS PAC ID: 7113213497
Enrollment ID: I20160913001398
Provider NameAnaise H Hines
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447561279
PECOS PAC ID: 8426244138
Enrollment ID: I20161115001277
Provider NameTina Barber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023078367
PECOS PAC ID: 9830159953
Enrollment ID: I20171028000424
Provider NameAmy Theppote
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1578980694
PECOS PAC ID: 2062719180
Enrollment ID: I20180102002828
Provider NameEmily R Charlton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407330889
PECOS PAC ID: 0941548663
Enrollment ID: I20190205001346
Provider NameTierney Newman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093272015
PECOS PAC ID: 6406197078
Enrollment ID: I20190408002934
Provider NameTim I Wilcox
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760688568
PECOS PAC ID: 6103013255
Enrollment ID: I20190624003786
Provider NameLori H Sharrow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710232137
PECOS PAC ID: 1850541905
Enrollment ID: I20191219003127
Provider NameCarlos Ramos
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1447451323
PECOS PAC ID: 6103014535
Enrollment ID: I20200228001068
Provider NameJohn S Prickett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134736838
PECOS PAC ID: 6709206204
Enrollment ID: I20201110000059
Provider NameJennifer M Nickell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326645417
PECOS PAC ID: 0840681102
Enrollment ID: I20211221000028
Provider NameEdmund J Nichter
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1184897910
PECOS PAC ID: 8426121922
Enrollment ID: I20220127001192
Provider NameMusah N Iddrisu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124627054
PECOS PAC ID: 5092163782
Enrollment ID: I20231117002391
Provider NameTim Burner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861572844
PECOS PAC ID: 4284610031
Enrollment ID: I20240614002471
Provider NameMicah Kiehl
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871943159
PECOS PAC ID: 6507219060
Enrollment ID: I20240614002598
Provider NameGale Lewis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225358575
PECOS PAC ID: 6507055613
Enrollment ID: I20240614003170
Provider NameAnna Marie Bishop
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235696154
PECOS PAC ID: 2668917329
Enrollment ID: I20240717003366
Provider NameShannon Bishop
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679707293
PECOS PAC ID: 9537290978
Enrollment ID: I20240724000848
Provider NameAllison Celauro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144605247
PECOS PAC ID: 4688972219
Enrollment ID: I20240730002038
Provider NameDana J Fisher
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1053360115
PECOS PAC ID: 1456326149
Enrollment ID: I20240801004164
Provider NameJamie Owens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740696160
PECOS PAC ID: 0042536153
Enrollment ID: I20240802000906
Provider NameSandra Greene
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962930636
PECOS PAC ID: 7214207364
Enrollment ID: I20240805003999
Provider NameMargie Elizabeth Hertz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669916383
PECOS PAC ID: 8820535099
Enrollment ID: I20240806000792
Provider NameDenise Tobe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235503277
PECOS PAC ID: 9436450376
Enrollment ID: I20240812002339
Provider NameJulie A Passon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780730119
PECOS PAC ID: 4082663281
Enrollment ID: I20240814000444
Provider NameMelissa Rivera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255104717
PECOS PAC ID: 4183162621
Enrollment ID: I20240815002587
Provider NameCrystal Ward
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760084651
PECOS PAC ID: 9537559406
Enrollment ID: I20240816001916
Provider NameJanet Dichter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417384082
PECOS PAC ID: 4385906403
Enrollment ID: I20240818000106
Provider NameJorge Correia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700557287
PECOS PAC ID: 9931597093
Enrollment ID: I20240819001559
Provider NameKathleen Klunk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134585268
PECOS PAC ID: 9335438290
Enrollment ID: I20240823002172
Provider NameAnne Koster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790739951
PECOS PAC ID: 4981670627
Enrollment ID: I20240826003152
Provider NameCaitlin Dorr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043766488
PECOS PAC ID: 5597040659
Enrollment ID: I20240909002122
Provider NameMartha Np Demesew
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841078797
PECOS PAC ID: 5193265874
Enrollment ID: I20240909002540
Provider NameChristine Trubic Huntley
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1669501276
PECOS PAC ID: 7911076112
Enrollment ID: I20240911004534
Provider NameChristie Kratovil
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306155270
PECOS PAC ID: 4688857840
Enrollment ID: I20241025003683
Provider NameDaniel Buffington
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801022389
PECOS PAC ID: 9931365335
Enrollment ID: I20241125003798
Provider NameEmily T Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629466842
PECOS PAC ID: 6608177522
Enrollment ID: I20241126000846

Reviews and Comments


General Practice in Tigard, OR

Tigard Holistic Health Clinic, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 11930 Sw Greenburg Rd, Tigard, OR 97223
Phone: 503-639-1712    
Recovery Works Nw Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 12540 Sw Main St Ste 202, Tigard, OR 97223
Phone: 503-906-9995    Fax: 503-597-7000
Fred Meyer
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 11565 Sw Pacific Hwy, Tigard, OR 97223
Phone: 503-293-7085    

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 12442 Sw Scholls Ferry Rd, Suite 100, Tigard, OR 97223
Phone: 503-216-9200    Fax: 503-216-9220
Virginia Garcia Memorial Health Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 9000 Sw Durham Rd, Bldg 710, Tigard, OR 97224
Phone: 503-431-5775    Fax: 503-431-5776
Best Practice, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 9735 Sw Shady Ln Ste 306, Tigard, OR 97223
Phone: 503-891-2352    

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.