<unavail> in Vancouver, WA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in Vancouver, Washington. The current practice location for is 16508 Se 24th St Ste 203, Vancouver, Washington. For appointments, you can reach them via phone at (360) 818-4626. The mailing address for is 16508 Se 24th St Ste 203, Vancouver, Washington and phone number is (360) 818-4626.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1780285510. 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) 818-4626.

Contact Information


	16508 Se 24th St Ste 203 Vancouver WA 98683-4321
	(360) 818-4626
	(360) 208-0293

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	16508 Se 24th St Ste 203, Vancouver, Washington
Authorized Official Name and Position	Dustin Henry (OWNER)
Authorized Official Contact	3608184626
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
16508 Se 24th St Ste 203 Vancouver WA 98683-4321 Ph: (360) 818-4626	16508 Se 24th St Ste 203 Vancouver WA 98683-4321 Ph: (360) 818-4626

NPI Details:

NPI Number	1780285510
Provider Enumeration Date	11/06/2020
Last Update Date	12/02/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	4183093537
Medicare Enrollment ID	O20221207002302

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780285510	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (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 Name	Dustin Carter Henry
Provider Type	Practitioner - Chiropractic
Provider Identifiers	NPI Number: 1891240248 PECOS PAC ID: 5092184440 Enrollment ID: I20221207002361

Reviews and Comments

Clinic/Center in Vancouver, WA

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- Medicare Primary Care in Vancouver, WA