Allcare Medical Group LLC
Organization Active NPI Family Medicine Physician · Grants Pass, OR
NPI 1699360412 · NPPES record last updated Aug 23, 2022
Key facts
- NPI
- 1699360412
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ALLCARE MEDICAL GROUP LLC
- Practice address
- 124 NW Midland Ave
Grants Pass, OR 97526-1269 - Phone
- (541) 476-8859
- NPI assigned
- Mar 3, 2021
- Organization subpart
- No
Authorized official
- Name
- Donna Duval
- Title
- Sr. Director
- Phone
- (541) 471-4106
Practitioners 33
-
David Abdun-Nur, M.D.
-
Sennie Anderson, FNP
-
Robert Scott Anthony, AGPCNP
-
Sarah Katherine Belfakih, APRN-CNP
-
Kalab Carlile, NP
-
Samantha Bea Carlile, WHNP
-
Alyssa E Cordel, DNP, FNP-C
-
Jon Edwin Lloyd Ermshar, M.D.
-
Barry Hamann, MD
-
Ivy Hsieh, DO
-
Rachel Jessica Lammers, DNP, FNP-BC
-
Laura K Marburger, FNP
-
Angela C Mount, DO
-
Laurie M Otte, NP
-
Jason Pilcher, M.D.
-
Melissa Snell, DO
-
Misty Elizabeth Vicente, FNP-BC
-
Richard Williams, M.D.
-
Lacy Elizabeth Scott Wyant, RN, FNP
-
Brett L Rasmussen PA-C, PA-C
-
Christine Rotin, PAC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2163061 | Allcare Medical Group, LLC | Certificate of waiver | Mar 5, 2027 |
| 38D2220907 | Allcare Medical Group, LLC | Certificate of waiver | Apr 14, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210720002502 | OR | Part B Supplier - Clinic/Group Practice | 6507269115 |
Receives reassigned benefits from 27 practitioners Practice locations: Cave Junction, OR; Glendale, OR; Grants Pass, OR; Shady Cove, OR |
National Provider Directory
Locations
1701 NE 7th St
Grants Pass, OR 97526
Phone (541) 471-4106
1587 NW Washington Blvd
Grants Pass, OR 97526
Phone (541) 471-4106
1601 NW Hawthorne Ave
Grants Pass, OR 97526
Phone (541) 472-4880
1716 Williams Hwy
Grants Pass, OR 97527
Phone (541) 474-6053
825 Bennett Ave
Medford, OR 97504
Phone (541) 779-5228
21990 Highway 62
Shady Cove, OR 97539
Phone (541) 878-2022
Interoperability endpoints
- kelseyfyfe@acmgllc.allscriptsdirect.net
- mistyelizabeth@acmgllc.allscriptsdirect.net
- jonermshar@acmgllc.allscriptsdirect.net
- jasonpilcher@acmgllc.allscriptsdirect.net
- alyssacordel@acmgllc.allscriptsdirect.net
- svetlanavitus@acmgllc.allscriptsdirect.net
- kalabcarlile@acmgllc.allscriptsdirect.net
- lauramarburger@acmgllc.allscriptsdirect.net
- jennifercothron@acmgllc.allscriptsdirect.net
- markrondeau@acmgllc.allscriptsdirect.net
- sennieanderson@acmgllc.allscriptsdirect.net
- lacyscottwyant@acmgllc.allscriptsdirect.net
- heatherkahn@acmgllc.allscriptsdirect.net
- melissasnell@acmgllc.allscriptsdirect.net
- sarahbelfakih@acmgllc.allscriptsdirect.net
- angelamount@acmgllc.allscriptsdirect.net
- davidabdunnur@acmgllc.allscriptsdirect.net
- barryhamann@acmgllc.allscriptsdirect.net
- brookelogue@acmgllc.allscriptsdirect.net
- bobbyanthony@acmgllc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
124 NW Midland Ave
Grants Pass, OR 97526-1269
Mailing address
1701 NE 7TH St
Grants Pass, OR 97526-1319
Phone (541) 471-4106
Other practice location 1
341 E Cottage Park Dr Ste 1
Cave Junction, OR 97523-1238
Phone (541) 450-3625
Other practice location 2
101 1st St
Glendale, OR 97442-9640
Phone (541) 832-5400
Other providers in Grants Pass, OR
- Susan Lara Albright
- Michelle Donna Alcala
- Selena Rose Alderson
- Rachel Alexanian
- Allcare Cco, Inc.
- Allcare Pace, LLC
- Brian James Allen
- Cheyenne C Allen
- Daniel Allen
- Heather V Allen
All providers in Grants Pass, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2022. 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.
- 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.