| Allcare Medical Group Llc | |
|
124 Nw Midland Ave Grants Pass OR 97526-1269 | |
| (541) 476-8859 | |
| Not Available |
| Full Name | Allcare Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 124 Nw Midland Ave, Grants Pass, Oregon |
| Authorized Official Name and Position | Donna Duval (SR. DIRECTOR) |
| Authorized Official Contact | 5414714106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allcare Medical Group Llc 1701 Ne 7th St Grants Pass OR 97526-1319 Ph: (541) 471-4106 | Allcare Medical Group Llc 124 Nw Midland Ave Grants Pass OR 97526-1269 Ph: (541) 476-8859 |
| NPI Number | 1699360412 |
|---|---|
| Provider Enumeration Date | 03/03/2021 |
| Last Update Date | 08/23/2022 |
| Medicare PECOS PAC ID | 6507269115 |
|---|---|
| Medicare Enrollment ID | O20210720002502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699360412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jon E L Ermshar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366438095 PECOS PAC ID: 4880596998 Enrollment ID: I20040407000218 |
| Provider Name | Mark A Rondeau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518964766 PECOS PAC ID: 6507850906 Enrollment ID: I20040511000625 |
| Provider Name | Richard A Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205833951 PECOS PAC ID: 2961491162 Enrollment ID: I20040512000053 |
| Provider Name | Barry C Hamann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194725069 PECOS PAC ID: 0840289047 Enrollment ID: I20040512000090 |
| Provider Name | David J Abdun Nur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396737847 PECOS PAC ID: 5092704197 Enrollment ID: I20040512000172 |
| Provider Name | Jason C Pilcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457345050 PECOS PAC ID: 4183651029 Enrollment ID: I20050721000700 |
| Provider Name | Sennie D Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124089271 PECOS PAC ID: 3779501341 Enrollment ID: I20051102001183 |
| Provider Name | Michael G Pruner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356472161 PECOS PAC ID: 4789772542 Enrollment ID: I20141119002511 |
| Provider Name | Laurie Marie Otte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336557016 PECOS PAC ID: 9638491046 Enrollment ID: I20141212001518 |
| Provider Name | Susan L Albright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265739742 PECOS PAC ID: 8123216058 Enrollment ID: I20150623001729 |
| Provider Name | Lacy Elizabeth Scott Wyant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306223573 PECOS PAC ID: 8224324322 Enrollment ID: I20160915000382 |
| Provider Name | Rachel Emily Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821264979 PECOS PAC ID: 2860566163 Enrollment ID: I20180712003573 |
| Provider Name | Kelsey D Fyfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760090583 PECOS PAC ID: 8628497740 Enrollment ID: I20200923001000 |
| Provider Name | Rachel Jessica Vanderwall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316560865 PECOS PAC ID: 3779902663 Enrollment ID: I20200925001523 |
| Provider Name | Samantha Bea Carlile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750986097 PECOS PAC ID: 5799197950 Enrollment ID: I20201210003089 |
| Provider Name | Svetlana Melikovna Vitus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154912632 PECOS PAC ID: 0244645760 Enrollment ID: I20210216001141 |
| Provider Name | Kalab Carlile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336810241 PECOS PAC ID: 8022408277 Enrollment ID: I20211202002526 |
| Provider Name | Laura K Marburger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609501717 PECOS PAC ID: 9739562919 Enrollment ID: I20220822000750 |
| Provider Name | Sarah Katherine Belfakih |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487395224 PECOS PAC ID: 1355721432 Enrollment ID: I20221005000472 |
| Provider Name | Alyssa E Cordel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710605753 PECOS PAC ID: 1153707500 Enrollment ID: I20221007002229 |
| Provider Name | Melissa Snell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104434224 PECOS PAC ID: 4587082722 Enrollment ID: I20231020001264 |
| Provider Name | Amanda Brooke Davalos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710641618 PECOS PAC ID: 5092199869 Enrollment ID: I20231108003006 |
Bogard Family And Sports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Sw Ramsey, Suite 104, Grants Pass, OR 97527 Phone: 541-471-4930 Fax: 541-471-1331 | |
James Lee Calvert M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 Nw Bunnell Ave, Grants Pass, OR 97526 Phone: 541-479-4111 Fax: 541-955-1621 | |
Grants Pass Chiropractic Clinic, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1103 Ne 7th St, Grants Pass, OR 97526 Phone: 541-479-1982 Fax: 541-479-0621 | |
Kurt A Brewster Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 Ne 6th Street, Grants Pass, OR 97526 Phone: 541-474-1020 Fax: 541-474-1108 | |
Mountainview Family Practice Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 741 Ne 6th St, Grants Pass, OR 97526 Phone: 541-471-2701 Fax: 541-471-1166 | |
Brian Hancock Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 841 Ne 7th St, Grants Pass, OR 97526 Phone: 541-474-2721 Fax: 541-474-0056 | |
Karen Joyce Hoskins Msn/fnp Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Ne 7th St Ste C, Grants Pass, OR 97526 Phone: 541-476-7000 Fax: 541-476-7000 |