Pomeroy Medical Clinic - Medicare Primary Care in Pomeroy, WA

  1. Home
  2. Primary Care Clinics
  3. WA
  4. Pomeroy
Pomeroy Medical Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Pomeroy, Washington. The current practice location for Pomeroy Medical Clinic is 446 Pataha St, Pomeroy, Washington. For appointments, you can reach them via phone at (509) 843-1491. The mailing address for Pomeroy Medical Clinic is 66 N 6th St, Pomeroy, Washington and phone number is (509) 843-1491.

Pomeroy Medical Clinic is licensed to practice in Washington (license number 503982). The clinic also participates in the medicare program and its NPI number is 1114028693. 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) 843-1491.

Contact Information

Pomeroy Medical Clinic
446 Pataha St
Pomeroy
WA 99347-8634
(509) 843-1491
(509) 843-1740

Map and Direction


Primary Care Clinic Profile

Full NamePomeroy Medical Clinic
SpecialityClinic/Center
Location446 Pataha St, Pomeroy, Washington
Authorized Official Name and PositionHollie Winslow (BUSINESS OFFICE MANAGER)
Authorized Official Contact5095664147
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pomeroy Medical Clinic
66 N 6th St
Pomeroy
WA 99347-9705

Ph: (509) 843-1491		Pomeroy Medical Clinic
446 Pataha St
Pomeroy
WA 99347-8634

Ph: (509) 843-1491

NPI Details:

NPI Number1114028693
Provider Enumeration Date09/26/2006
Last Update Date10/25/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2668360769
Medicare Enrollment IDO20040309001450

Medical Identifiers

Medical identifiers for Pomeroy Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114028693NPI-NPPES
7023161MedicaidWA
7105463OtherWAMEDICA RURAL HEALTH ENCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health 503982 (Washington)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Pomeroy Medical Clinic acts as a billing entity for following providers:
Provider NameDavid T Jones
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1922057454
PECOS PAC ID: 3678521796
Enrollment ID: I20080910000317
Provider NameOlympia Tachopoulou Stafford
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1740382670
PECOS PAC ID: 9032286745
Enrollment ID: I20080923000115
Provider NameSupriya Khan
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1023190469
PECOS PAC ID: 4688660129
Enrollment ID: I20090612000326
Provider NameYongmoon A Park
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154334670
PECOS PAC ID: 3375526957
Enrollment ID: I20110425000579
Provider NameCourtney Travis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821419557
PECOS PAC ID: 9335362581
Enrollment ID: I20140516000309
Provider NameMorgan S Fife
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437405792
PECOS PAC ID: 1850546508
Enrollment ID: I20140613002282
Provider NameChristopher J Iacobelli
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649295866
PECOS PAC ID: 7618906934
Enrollment ID: I20150831001091
Provider NameDeborah Anne Fogg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558600015
PECOS PAC ID: 9739325259
Enrollment ID: I20170622000628
Provider NameAmber D Dacy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396247417
PECOS PAC ID: 5294160503
Enrollment ID: I20200115000038
Provider NameRubin Chandran
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1972571024
PECOS PAC ID: 6709817679
Enrollment ID: I20200928002070
Provider NameMelanie Hashagen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871060053
PECOS PAC ID: 4880935667
Enrollment ID: I20210112002923
Provider NameMarybella Dodson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508513789
PECOS PAC ID: 1759758758
Enrollment ID: I20221103002926
Provider NameCamille Reyes
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851796783
PECOS PAC ID: 3678946472
Enrollment ID: I20230227000155
Provider NameAlyson L Redman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114120680
PECOS PAC ID: 9335232487
Enrollment ID: I20231113001686

Reviews and Comments


Clinic/Center in Pomeroy, WA

Garfield County Hospital District
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 66 6th St., Pomeroy, WA 99347
Phone: 509-843-1591    Fax: 509-843-1234

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.