Rainier Springs Physician Group, Llc - Medicare Mental Health Clinic in Vancouver, WA

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Rainier Springs Physician Group, Llc is a medicare enrolled mental health clinic (Psychiatry & Neurology - Neurology) in Vancouver, Washington. The current practice location for Rainier Springs Physician Group, Llc is 2805 Ne 129th Street, Vancouver, Washington. For appointments, you can reach them via phone at (360) 356-1890. The mailing address for Rainier Springs Physician Group, Llc is 101 S 5th St, Louisville, Kentucky and phone number is (360) 356-1890.

Rainier Springs Physician Group, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1306321237. 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 (360) 356-1890.

Contact Information

Rainier Springs Physician Group, Llc
2805 Ne 129th Street
Vancouver
WA 98686
(360) 356-1890
(360) 356-1891

Map and Direction


Mental Health Clinic Profile

Full NameRainier Springs Physician Group, Llc
SpecialityPsychiatry & Neurology
Location2805 Ne 129th Street, Vancouver, Washington
Authorized Official Name and PositionGreg Miller (EVP, CFO)
Authorized Official Contact4125883546
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rainier Springs Physician Group, Llc
101 S 5th St
Louisville
KY 40202-3157

Ph: (360) 356-1890		Rainier Springs Physician Group, Llc
2805 Ne 129th Street
Vancouver
WA 98686

Ph: (360) 356-1890

NPI Details:

NPI Number1306321237
Provider Enumeration Date09/26/2018
Last Update Date05/20/2020
Certification Date05/20/2020

Medicare PECOS Information:

Medicare PECOS PAC ID0547514549
Medicare Enrollment IDO20181109001590

Medical Identifiers

Medical identifiers for Rainier Springs Physician Group, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306321237NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology (* (Not Available))Primary
208D00000XGeneral Practice (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Rainier Springs Physician Group, Llc acts as a billing entity for following providers:
Provider NamePatricia J Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811967508
PECOS PAC ID: 7911800875
Enrollment ID: I20040128000983
Provider NameSamir Aziz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1588730287
PECOS PAC ID: 5799740775
Enrollment ID: I20051117000893
Provider NameJennifer Clingenpeel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992886956
PECOS PAC ID: 4486678547
Enrollment ID: I20060117000690
Provider NameGilbert Simas
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1497802383
PECOS PAC ID: 3274684071
Enrollment ID: I20090707000365
Provider NameCelia G Forno
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437293909
PECOS PAC ID: 4183630080
Enrollment ID: I20100924000582
Provider NameElia R Gonzalez-rodriguez
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1609979558
PECOS PAC ID: 9537214374
Enrollment ID: I20110915000842
Provider NameMary A Nametka
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104835297
PECOS PAC ID: 2567557382
Enrollment ID: I20120313000472
Provider NameMarco V Baquero
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1730298902
PECOS PAC ID: 4183512007
Enrollment ID: I20140701000580
Provider NameCheryl M Mercurio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588085443
PECOS PAC ID: 5799095519
Enrollment ID: I20151106002216
Provider NameBrent A. Crane
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1336469287
PECOS PAC ID: 9739336058
Enrollment ID: I20160707002565
Provider NameSalman Kazim
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1154437457
PECOS PAC ID: 1153410360
Enrollment ID: I20170509002772
Provider NameRina Myklak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578954657
PECOS PAC ID: 5991024010
Enrollment ID: I20171025001096
Provider NameRoderick Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861917882
PECOS PAC ID: 0941575484
Enrollment ID: I20180604001312
Provider NameDaniel E Roa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801266119
PECOS PAC ID: 1951665918
Enrollment ID: I20180808000336
Provider NameJeffrey Robert Gruhler
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1639445752
PECOS PAC ID: 5294960019
Enrollment ID: I20181212002510
Provider NameNadine A Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205082062
PECOS PAC ID: 5294976106
Enrollment ID: I20190222002011
Provider NameXixi Wong
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1174815997
PECOS PAC ID: 0648560607
Enrollment ID: I20190314001640
Provider NameLindsay Marie Mcginnis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144699224
PECOS PAC ID: 1052629102
Enrollment ID: I20190529003285
Provider NameJoanna Wade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023482627
PECOS PAC ID: 3173826013
Enrollment ID: I20190617003206
Provider NameRenee A Bacas
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1295952497
PECOS PAC ID: 1951578103
Enrollment ID: I20190715000745
Provider NameKenneth Richmond
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1184891277
PECOS PAC ID: 6608015342
Enrollment ID: I20190715001697
Provider NameMonika Karazja
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1801206578
PECOS PAC ID: 1759656960
Enrollment ID: I20190722000134
Provider NameMichael M Messer
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1689740821
PECOS PAC ID: 5698673614
Enrollment ID: I20191003001597
Provider NameVandana N Bindal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639113590
PECOS PAC ID: 9133121635
Enrollment ID: I20191114001281
Provider NameDeborah Lee Cline
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518433721
PECOS PAC ID: 6406281534
Enrollment ID: I20200120001066
Provider NamePeri Anne Mayes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942790035
PECOS PAC ID: 1759718984
Enrollment ID: I20200227000911
Provider NameAudrey Cavins-ezell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154899805
PECOS PAC ID: 3971848839
Enrollment ID: I20200303002665
Provider NameZane Curtis
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1023465234
PECOS PAC ID: 8820383334
Enrollment ID: I20200504002196
Provider NameDarcy K Trenkle
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1114217619
PECOS PAC ID: 9638484769
Enrollment ID: I20200820003359
Provider NameFidel Hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104461961
PECOS PAC ID: 2264858141
Enrollment ID: I20200824000647
Provider NameEmilia Bazan-grow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902835275
PECOS PAC ID: 4183621311
Enrollment ID: I20200911002649
Provider NameLauren Welner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902325442
PECOS PAC ID: 3072870203
Enrollment ID: I20201113002244
Provider NameSarah Schrauben
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1851525620
PECOS PAC ID: 0648581223
Enrollment ID: I20201125001263
Provider NameShirley E Mohren-graves
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568461465
PECOS PAC ID: 7012902810
Enrollment ID: I20210324002377
Provider NameJulie M Peterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801202528
PECOS PAC ID: 0749402642
Enrollment ID: I20210723001372
Provider NameBrian Holoyda
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1144588989
PECOS PAC ID: 6305118910
Enrollment ID: I20210820002942
Provider NameIkechi Alex Ikechi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083221006
PECOS PAC ID: 5193132900
Enrollment ID: I20210927002785
Provider NameJessica Estes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487632709
PECOS PAC ID: 7113959867
Enrollment ID: I20211022002204
Provider NameCharles Jin
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1801966924
PECOS PAC ID: 1658329693
Enrollment ID: I20220204000328
Provider NameMatthew T Boire
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1235449463
PECOS PAC ID: 3971749276
Enrollment ID: I20220401000512
Provider NameTodd Palumbo
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1073629010
PECOS PAC ID: 6709977838
Enrollment ID: I20220919003353
Provider NamePeggy M Gironde
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043911738
PECOS PAC ID: 2365803137
Enrollment ID: I20230727000848

Reviews and Comments

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Phone: 360-882-9058    Fax: 360-567-0861

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.