Stayton Family Practice Inc - Medicare Primary Care in Stayton, OR

Stayton Family Practice Inc is a medicare enrolled primary clinic (Family Medicine) in Stayton, Oregon. The current practice location for Stayton Family Practice Inc is 1881 W Washington St, Stayton, Oregon. For appointments, you can reach them via phone at (503) 400-6140. The mailing address for Stayton Family Practice Inc is 1881 W Washington St, Stayton, Oregon and phone number is (503) 400-6140.

Stayton Family Practice Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1912130915. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (503) 400-6140.

Contact Information

Stayton Family Practice Inc
1881 W Washington St
Stayton
OR 97383-9511
(503) 400-6140
(503) 769-3797

Primary Care Clinic Profile

Full NameStayton Family Practice Inc
SpecialityFamily Medicine
Location1881 W Washington St, Stayton, Oregon
Authorized Official Name and PositionLance B Large (OWNER)
Authorized Official Contact5034006140
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stayton Family Practice Inc
1881 W Washington St
Stayton
OR 97383-9511

Ph: (503) 400-6140
Stayton Family Practice Inc
1881 W Washington St
Stayton
OR 97383-9511

Ph: (503) 400-6140

NPI Details:

NPI Number1912130915
Provider Enumeration Date08/25/2009
Last Update Date06/15/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6709922230
Medicare Enrollment IDO20091013000802

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Medical Identifiers

Medical identifiers for Stayton Family Practice Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912130915NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Stayton Family Practice Inc acts as a billing entity for following providers:
Provider NameLance B Large
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750362554
PECOS PAC ID: 0143110841
Enrollment ID: I20040317000524

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Provider NameRichard Cutler Boughn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114088101
PECOS PAC ID: 0446382451
Enrollment ID: I20100709000239

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Family Medicine in Stayton, OR

Cascade Medical Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1369 N 10th Ave, Stayton, OR 97383
Phone: 503-769-7546    Fax: 503-769-8563
Guesly Dessieux, Do
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1401 N 10th Ave, Suite 100, Stayton, OR 97383
Phone: 503-769-6386    
Jeanne L Fitzpatrick Md Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1401 N 10th Ave Ste 100, Stayton, OR 97383
Phone: 503-769-4602    Fax: 503-769-5416
Damian E. Jorgensen M.d.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1401 N 10th Ave, Suite 200, Stayton, OR 97383
Phone: 503-769-9070    Fax: 503-769-5416
Patrick R. Arden D.c.p.c.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 170 E Washington St, Stayton, OR 97383
Phone: 503-769-2801    
Nancy Dougherty, Md
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1401 N 10th Ave, Suite 200, Stayton, OR 97383
Phone: 503-769-9362    Fax: 503-769-5416
Santiam Medical Associates
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1401 N 10th Ave, Ste. 100, Stayton, OR 97383
Phone: 503-769-6386    Fax: 503-769-5647

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