Shady Cove Clinic - Medicare Primary Care in Shady Cove, OR

Shady Cove Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Shady Cove, Oregon. The current practice location for Shady Cove Clinic is 21990 Hwy 62, Shady Cove, Oregon. For appointments, you can reach them via phone at (541) 878-2022. The mailing address for Shady Cove Clinic is Po Box 428, Shady Cove, Oregon and phone number is (541) 878-2022.

Shady Cove Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1609850940. 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 (541) 878-2022.

Contact Information

Shady Cove Clinic
21990 Hwy 62
Shady Cove
OR 97539-9717
(541) 878-2022
(541) 878-1498

Map and Direction


Primary Care Clinic Profile

Full NameShady Cove Clinic
SpecialityClinic/Center
Location21990 Hwy 62, Shady Cove, Oregon
Authorized Official Name and PositionGlen Finley (ADMINISTRATOR)
Authorized Official Contact5418300333
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shady Cove Clinic
Po Box 428
Shady Cove
OR 97539-0428

Ph: (541) 878-2022
Shady Cove Clinic
21990 Hwy 62
Shady Cove
OR 97539-9717

Ph: (541) 878-2022

NPI Details:

NPI Number1609850940
Provider Enumeration Date11/30/2005
Last Update Date01/30/2013

Medicare PECOS Information:

Medicare PECOS PAC ID6305839283
Medicare Enrollment IDO20040406001311

Medical Identifiers

Medical identifiers for Shady Cove Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609850940NPI-NPPES
123633MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
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. Shady Cove Clinic acts as a billing entity for following providers:
Provider NameKathleen S Finley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578547824
PECOS PAC ID: 6406849306
Enrollment ID: I20040414001664
Provider NamePatrick J Gillette
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578594008
PECOS PAC ID: 6204816135
Enrollment ID: I20040726000176
Provider NameJoy E Ash
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821033952
PECOS PAC ID: 7315940814
Enrollment ID: I20060823000534
Provider NameLaura L Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023348430
PECOS PAC ID: 4789710054
Enrollment ID: I20101007001323
Provider NameMary J Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053650960
PECOS PAC ID: 4880832146
Enrollment ID: I20130528000051

Reviews and Comments


Clinic/Center in Shady Cove, OR

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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.