La Pine Community Health Center
A Medicare group practice based in La Pine, OR: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8224187018), with 23 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8224187018
- Provider type
- MDPP Supplier - in-Person MDPP Supplier, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- OR
- Enrollments
- 5
- Group size
- 13 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 7
Enrollment records 5
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20090611000055 | OR | Part B Supplier - Clinic/Group Practice | 1639316193 |
| O20090527000628 | OR | Part A Provider - Federally Qualified Health Center (FQHC) | 1639316193 |
| O20140807001035 | OR | Part A Provider - Federally Qualified Health Center (FQHC) | 1063825776 |
| O20140812000273 | OR | Part A Provider - Federally Qualified Health Center (FQHC) | 1669889341 |
| O20180529001713 | OR | MDPP Supplier - in-Person MDPP Supplier | 1639316193 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
La Pine Community Health Center
dba La Pine School Based Health Center
- Federally Qualified Health Center (FQHC)
- La Pine, OR
- NPI 1063825776
-
La Pine Community Health Center
- Federally Qualified Health Center (FQHC)
- La Pine, OR
- NPI 1639316193
-
La Pine Community Health Center
- Federally Qualified Health Center (FQHC)
- Gilchrist, OR
- NPI 1669889341
Practice locations
- La Pine, OR4
- Gilchrist, OR2
- Lapine, OR1
Clinicians 23
Clinicians who reassign their Medicare benefits to this group (23) or whom Care Compare lists as members (13).
-
Rebecca M Brewer, PA-C
- Physician Assistant
- La Pine, OR
- NPI 1972656700
-
Janice Cody, FNP
- Family Nurse Practitioner
- La Pine, OR
- NPI 1194180562
-
Beth E. Erickson, LCSW
- Clinical Social Worker
- Florence, OR
- NPI 1184146417
-
Brian Taylor Evans, PSYD
- Psychologist
- La Pine, OR
- NPI 1811131550
-
Amanda Fields, DO
- Family Medicine Physician
- Warm Springs, OR
- NPI 1952923336
-
Joan Blum Friderici, MD
- Family Medicine Physician
- Bend, OR
- NPI 1558699512
-
Sarah Grosse, APRN
- Psychiatric/Mental Health Clinical Nurse Specialist
- La Pine, OR
- NPI 1225020258
-
Mariam Hameed
- Family Nurse Practitioner
- Bend, OR
- NPI 1285385922
-
Kaelyna Rose Haskins
- Counselor
- Madras, OR
- NPI 1740774694
-
Tyson Lee Langeliers, PA -C, ATC, LAT
- Physician Assistant
- La Pine, OR
- NPI 1861429482
-
Megan Marie Lewis, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Bend, OR
- NPI 1952636714
-
Rio Lion, D.O
- Family Medicine Physician
- La Pine, OR
- NPI 1346441680
-
Jillian Marcucci, M.A.
- Occupational Therapist
- Bend, OR
- NPI 1922625904
-
Patrick J. McCarthy, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- La Pine, OR
- NPI 1902881006
-
Joe T McCook, MD
- Family Medicine Physician
- La Pine, OR
- NPI 1154344869
-
Amy Millikin
- Mental Health Counselor
- La Pine, OR
- NPI 1770075475
-
Adaobi Okonkwo, MD
- Family Medicine Physician
- La Pine, OR
- NPI 1528320140
-
Zoe Pearlman, PA-C
- Physician Assistant
- La Pine, OR
- NPI 1659250942
-
Zane Hassan Saghaian, PA
- Physician Assistant
- San Francisco, CA
- NPI 1861039513
-
Divya Sharma, MD
- Internal Medicine Physician
- Bend, OR
- NPI 1083679393
-
Sarah Danielle Sperry, PA-C
- Physician Assistant
- La Pine, OR
- NPI 1710475769
-
Taouea J Vitousek, LCSW
- Clinical Social Worker
- Terrebonne, OR
- NPI 1760768030
-
Cari Nicole Welch, LPC
- Professional Counselor
- Sunriver, OR
- NPI 1740943158
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.