South County Medical Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Quilcene, Washington. The current practice location for South County Medical Clinic is 294843 State Highway 101, Quilcene, Washington. For appointments, you can reach them via phone at
(360) 765-3111. The mailing address for South County Medical Clinic is 834 Sheridan St, Port Townsend, Washington and phone number is (360) 385-2200.
South County Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1780897074. 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
(360) 765-3111.
Primary Care Clinic Profile
| Full Name | South County Medical Clinic |
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| Speciality | Clinic/Center |
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| Location | 294843 State Highway 101, Quilcene, Washington |
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| Authorized Official Name and Position | Mike Glenn (CEO) |
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| Authorized Official Contact | 3603852200 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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South County Medical Clinic
834 Sheridan St
Port Townsend
WA 98368-2443
Ph: (360) 385-2200 | South County Medical Clinic
294843 State Highway 101
Quilcene
WA 98376
Ph: (360) 765-3111 |
NPI Details:
| NPI Number | 1780897074 |
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| Provider Enumeration Date | 05/07/2007 |
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| Last Update Date | 10/29/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4789593708 |
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| Medicare Enrollment ID | O20100927000358 |
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Medical Identifiers
Medical identifiers for South County Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780897074 | NPI | - | NPPES |
| 7056401 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QR1300X | Clinic/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.
South County Medical Clinic acts as a billing entity for following providers:
| Provider Name | Mark N Cherniack |
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| Provider Type | Practitioner - Clinical Social Worker |
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| Provider Identifiers | NPI Number: 1982093472
PECOS PAC ID: 3072830991
Enrollment ID: I20150402000177 |
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