- Medicare Primary Care in Enterprise, OR

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is a medicare enrolled primary clinic (Clinic/center - Critical Access Hospital) in Enterprise, Oregon. The current practice location for is 601 Medical Parkway, Enterprise, Oregon. For appointments, you can reach them via phone at (541) 426-3111. The mailing address for is 601 Medical Parkway, Enterprise, Oregon and phone number is (541) 426-3111.

is licensed to practice in Oregon (license number 14-0068). The clinic also participates in the medicare program and its NPI number is 1447256250. 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) 426-3111.

Contact Information

601 Medical Parkway
Enterprise
OR 97828-1167
(541) 426-3111
(541) 426-1901

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location601 Medical Parkway, Enterprise, Oregon
Authorized Official Name and PositionJoseph Matthew Wanner (CHIEF FINANCIAL OFFICER)
Authorized Official Contact5414265460
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

601 Medical Parkway
Enterprise
OR 97828

Ph: (541) 426-3111
601 Medical Parkway
Enterprise
OR 97828-1167

Ph: (541) 426-3111

NPI Details:

NPI Number1447256250
Provider Enumeration Date06/27/2005
Last Update Date01/31/2023

Medicare PECOS Information:

Medicare PECOS PAC ID4183537566
Medicare Enrollment IDO20031120000556

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447256250NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 140068 (Oregon)Secondary
261QC0050XClinic/center - Critical Access Hospital 14-0068 (Oregon)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 NameGary M Zeigler
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1295772291
PECOS PAC ID: 5890699342
Enrollment ID: I20031125000719
Provider NameRenee E Grandi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356334601
PECOS PAC ID: 2668379652
Enrollment ID: I20031217000791
Provider NameScott T Fry
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972577195
PECOS PAC ID: 2163491820
Enrollment ID: I20050701000609
Provider NameEmily A Sheahan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609821263
PECOS PAC ID: 1759319783
Enrollment ID: I20050801000809
Provider NameKirsten E Caine
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295773463
PECOS PAC ID: 0941238646
Enrollment ID: I20050803000447
Provider NameElizabeth C Powers
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164456539
PECOS PAC ID: 1557368495
Enrollment ID: I20061107000068
Provider NameKeith R De Young
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083829402
PECOS PAC ID: 0941378566
Enrollment ID: I20081009000622
Provider NameKenneth D Rose
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1588658801
PECOS PAC ID: 5395930200
Enrollment ID: I20101117000296
Provider NameTraci M Frye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356388094
PECOS PAC ID: 5890962054
Enrollment ID: I20120111000937
Provider NameAnnika Maly
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427498328
PECOS PAC ID: 3577889328
Enrollment ID: I20160728002611
Provider NameGeoffrey Maly
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578825022
PECOS PAC ID: 4981834827
Enrollment ID: I20160810000342
Provider NameJennifer L Barden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053866632
PECOS PAC ID: 8729366398
Enrollment ID: I20161102001039
Provider NameMichael K Mcdonald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205186509
PECOS PAC ID: 9537445754
Enrollment ID: I20170424000883
Provider NameWeston Baker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023429883
PECOS PAC ID: 5597982371
Enrollment ID: I20180920002879
Provider NameEmily Lauren Knudsen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750761284
PECOS PAC ID: 3971819160
Enrollment ID: I20180921002171
Provider NameKelsey Eliza Allen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619397221
PECOS PAC ID: 8123337227
Enrollment ID: I20181026001018
Provider NameJennifer Little
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134679509
PECOS PAC ID: 5799054391
Enrollment ID: I20190802002786
Provider NameLinda Laverne Keddington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760675953
PECOS PAC ID: 6204923493
Enrollment ID: I20191125000269
Provider NameBradley Smith
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1235164138
PECOS PAC ID: 8921096363
Enrollment ID: I20210511000820
Provider NameKatie Weller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275584534
PECOS PAC ID: 4880607977
Enrollment ID: I20210810003998
Provider NameNicholas Bennett West
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326508631
PECOS PAC ID: 5890038590
Enrollment ID: I20220804001775
Provider NameJamie Rose Dickenson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578322251
PECOS PAC ID: 1254772205
Enrollment ID: I20240508003626
Provider NameJackson Duane Law
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1114507795
PECOS PAC ID: 9234662537
Enrollment ID: I20241024003755

Reviews and Comments


Clinic/Center in Enterprise, OR

Winding Waters Clinic Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 603 Medical Pkwy, Enterprise, OR 97828
Phone: 541-426-4502    Fax: 541-426-6403
Olive Branch Family Health Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 306 W North Street, Enterprise, OR 97828
Phone: 541-426-7171    Fax: 541-426-7176

Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 306 W North St, Enterprise, OR 97828
Phone: 541-426-7900    
Frontier Family Medicine Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 616 W North St, Enterprise, OR 97828
Phone: 541-426-3797    Fax: 541-426-3798

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 758 Nw 1st St, Enterprise, OR 97828
Phone: 541-426-4502    

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 107 Sw 1st St, Suite 104, Enterprise, OR 97828
Phone: 541-426-6070    Fax: 541-426-6079

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.