Pine Eagle Health Planning Committee

PAC ID

8729075346The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part A Provider - Rural Health Clinic, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice

Enrolled in

OR

Enrollments

3

Group size

3 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

3In 1 place

Enrollment records 3

These NPI records belong to the same enrolled organization. Each has its own page.

• Pine Eagle Health Planning Committee

  dba Halfway-Oxbow Ambulance

  • Land Ambulance
  • Halfway, OR
  • NPI 1497858773
• Pine Eagle Health Planning Committee

  dba DBA-Pine Eagle Clinic

  • Rural Health Clinic/Center
  • Halfway, OR
  • NPI 1922102128

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).

• Dean Nathanial Defrees, MD

  • Family Medicine Physician
  • Baker City, OR
  • NPI 1073924361
• Kathryn L Grace, PA-C

  • Physician Assistant
  • Halfway, OR
  • NPI 1467575639
• Korey Vance Ham, MN, FNP-C, APRN

  • Family Nurse Practitioner
  • Baker City, OR
  • NPI 1285153932
• J Daniel Smithson, MD

  • Family Medicine Physician
  • Baker City, OR
  • NPI 1427046820

• 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.