Lila A Statz, MD
Individual provider Active NPI Family Medicine Physician · Haxtun, CO
NPI 1649219494 · NPPES record last updated Apr 10, 2012
Key facts
- NPI
- 1649219494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- CO39171 (CO)
- Practice address
- 235 W Fletcher
Haxtun, CO 80731-2737 - Phone
- (970) 774-6187
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kaiser Foundation Health Plan of the Northwest
Practice addresses (Care Compare)
3175 NE Aloclek Dr
Hillsboro, OR 97124-7135
Phone (800) 813-2000
Hospital & facility affiliations
- Eben Ezer Lutheran Care Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230831000813 | OR | Practitioner - Family Practice | 1557316908 | Reassigns benefits to 1 organization |
| I20230831004014 | WA | Practitioner - Family Practice | 1557316908 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO39171 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Family Medicine | Current |
Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Family Medicine | Current |
Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current |
Accepting new patients | |
| Sterling Regional Medcenter | Past | Accepting new patients |
Locations
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
3175 NE Aloclek Dr
Hillsboro, OR 97124
Phone (503) 240-6148
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | CO39171 | CO | Yes |
Addresses
Primary practice location
235 W Fletcher
Haxtun, CO 80731-2737
Mailing address
235 W Fletcher
Haxtun, CO 80731-2737
Phone (970) 774-6187
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57002843 | Medicaid | CO |
Other names
- Lila A Skrinska
Other providers in Haxtun, CO
- Northeast Boces
- Northeast Boces
- Portercare Adventist Health System
- Prairie Vista Family Dental
- Tanner Reed
- TMB Corporation
- Marianne E Webb
All providers in Haxtun, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.