County of Siskiyou
A Medicare group practice based in Yreka, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8224280706), with 12 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8224280706
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- CA
- Enrollments
- 1
- Group size
- 8 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20121207000287 | CA | Part B Supplier - Clinic/Group Practice | 1780803239 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
County of Siskiyou
dba County of Siskiyou Behavioral Health
- Community/Behavioral Health Agency
- Yreka, CA
- NPI 1780803239
-
County of Siskiyou
dba County of Siskiyou Behavioral Health Services
- Community/Behavioral Health Agency
- Mount Shasta, CA
- NPI 1427219237
Practice locations
- Mount Shasta, CA1
- Yreka, CA1
Clinicians 12
Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (8).
-
Elvia Amezcua, LCSW
- Clinical Social Worker
- Yreka, CA
- NPI 1427616887
-
Vicki Bedford
- Clinical Social Worker
- Mount Shasta, CA
- NPI 1710511225
-
Karina De la Luz Castillo
- Clinical Social Worker
- Yreka, CA
- NPI 1689914244
-
Martin Andrew Dawson, NP
- Nurse Practitioner
- Redding, CA
- NPI 1073653861
-
Jeremy Goldsmith, LCSW
- Clinical Social Worker
- Yreka, CA
- NPI 1437861085
-
David Lee Johnson, M.D.
- Psychiatry Physician
- Bloomington, MN
- NPI 1902913239
-
Rinnah Macvittie, FNP-BC; AGNP-C
- Family Nurse Practitioner
- Concord, CA
- NPI 1417346552
-
Kellie Nicole Malewski, LMSW, CAADC
- Social Worker
- Ann Arbor, MI
- NPI 1275866071
-
Erica Picon, LCSW
- Clinical Social Worker
- Buffalo, NY
- NPI 1144661562
-
Candace A Ross, MSW, LCSW, MAC, CCTP
- Clinical Social Worker
- Mount Shasta, CA
- NPI 1467549212
-
John Lester Schaeffer, D.O.
- Child & Adolescent Psychiatry Physician
- San Francisco, CA
- NPI 1497743918
-
Carrie Whiting, PA-C
- Physician Assistant
- Fairfield, CA
- NPI 1720451610
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.