Eastern Plumas Health Care District - Medicare Primary Care in Portola, CA

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Eastern Plumas Health Care District is a medicare enrolled primary clinic (General Acute Care Hospital - Critical Access) in Portola, California. The current practice location for Eastern Plumas Health Care District is 480 1st Ave, Portola, California. For appointments, you can reach them via phone at (530) 832-6500. The mailing address for Eastern Plumas Health Care District is 500 1st Ave, Portola, California and phone number is (530) 832-6500.

Eastern Plumas Health Care District is licensed to practice in California (license number 230000014). The clinic also participates in the medicare program and its NPI number is 1245236850. 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 (530) 832-6500.

Contact Information

Eastern Plumas Health Care District
480 1st Ave
Portola
CA 96122-9405
(530) 832-6500
(530) 832-1105

Map and Direction


Primary Care Clinic Profile

Full NameEastern Plumas Health Care District
SpecialityGeneral Acute Care Hospital
Location480 1st Ave, Portola, California
Authorized Official Name and PositionJerilee Nelson (CFO)
Authorized Official Contact5308326577
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eastern Plumas Health Care District
500 1st Ave
Portola
CA 96122-9406

Ph: (530) 832-6500		Eastern Plumas Health Care District
480 1st Ave
Portola
CA 96122-9405

Ph: (530) 832-6500

NPI Details:

NPI Number1245236850
Provider Enumeration Date06/28/2005
Last Update Date11/05/2013

Medicare PECOS Information:

Medicare PECOS PAC ID4587576889
Medicare Enrollment IDO20050329001076

Medical Identifiers

Medical identifiers for Eastern Plumas Health Care District such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245236850NPI-NPPES
ZZZ30855ZOtherCABLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health 230000014 (California)Secondary
282NC0060XGeneral Acute Care Hospital - Critical Access 230000014 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Eastern Plumas Health Care District acts as a billing entity for following providers:
Provider NameAntonio Domenico Muto-isolani
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1003836594
PECOS PAC ID: 1456340447
Enrollment ID: I20040506000777
Provider NameScott T Landeck
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1790733269
PECOS PAC ID: 9830091578
Enrollment ID: I20040513000609
Provider NameMilind R Dhond
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1972500676
PECOS PAC ID: 4587656541
Enrollment ID: I20040609001227
Provider NameLars D Ensign
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1750389862
PECOS PAC ID: 4284535428
Enrollment ID: I20041206001082
Provider NamePaul S Swanson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1316945249
PECOS PAC ID: 7416914940
Enrollment ID: I20041218000071
Provider NameRonald S Blustein
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1023129335
PECOS PAC ID: 8729036280
Enrollment ID: I20050111000698
Provider NameQuang Dinh Vo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568568582
PECOS PAC ID: 0143272757
Enrollment ID: I20050211000306
Provider NameJack M Bertman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1891777967
PECOS PAC ID: 1052363488
Enrollment ID: I20050214001003
Provider NameMary Alice Morrison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639152242
PECOS PAC ID: 5496798779
Enrollment ID: I20050607001243
Provider NameJudith E Sherman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1831216373
PECOS PAC ID: 7315981115
Enrollment ID: I20050613001109
Provider NameChristopher W Ward
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275590549
PECOS PAC ID: 1951337922
Enrollment ID: I20050711000853
Provider NameChristine A Spencer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417012931
PECOS PAC ID: 9032146725
Enrollment ID: I20050725000734
Provider NameVictor G Ettinger
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1891729653
PECOS PAC ID: 8426088774
Enrollment ID: I20050816000798
Provider NameBarnett J. W. Grier
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932233665
PECOS PAC ID: 5092760652
Enrollment ID: I20060223000847
Provider NameWendy Flapan
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1588741433
PECOS PAC ID: 0345259065
Enrollment ID: I20060407000285
Provider NameLovsho Phen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215996699
PECOS PAC ID: 2961411376
Enrollment ID: I20060412000788
Provider NameRaymundo P Punzalan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194721373
PECOS PAC ID: 8022117050
Enrollment ID: I20070615000407
Provider NameKenneth P Moses
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1275543845
PECOS PAC ID: 9032206347
Enrollment ID: I20071102000651
Provider NameKenneth L Robinson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1437157914
PECOS PAC ID: 0749360402
Enrollment ID: I20080107000862
Provider NameRyan A Sipherd
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1477748002
PECOS PAC ID: 4284718719
Enrollment ID: I20080222000236
Provider NameWilliam M Mills
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1497779300
PECOS PAC ID: 3779662069
Enrollment ID: I20080512000692
Provider NameDaniel P Buhler
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1710908983
PECOS PAC ID: 3375612583
Enrollment ID: I20080514000267
Provider NamePaul M Freitas
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1558385641
PECOS PAC ID: 2567531080
Enrollment ID: I20080522000687
Provider NameMarc C Walter
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1376683276
PECOS PAC ID: 9436223708
Enrollment ID: I20080805000120
Provider NameMichelle A Kim
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801982343
PECOS PAC ID: 1759441256
Enrollment ID: I20081113000356
Provider NameCharles G Cox
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1760467443
PECOS PAC ID: 5092888685
Enrollment ID: I20090303000447
Provider NameMarc Nielsen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265601207
PECOS PAC ID: 1557496247
Enrollment ID: I20100319000560
Provider NameGail A Prichard
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1891842480
PECOS PAC ID: 6103014568
Enrollment ID: I20101229000462
Provider NameDaniel Seth Pine
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1346312097
PECOS PAC ID: 6305034570
Enrollment ID: I20110103000989
Provider NameDavid M Baldini
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1780762526
PECOS PAC ID: 5799965315
Enrollment ID: I20110214000543
Provider NameRichard H Printz
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1558437285
PECOS PAC ID: 5395903058
Enrollment ID: I20120227000360
Provider NameBen M Hunt
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1588876593
PECOS PAC ID: 3274703301
Enrollment ID: I20120831000240
Provider NameAdam Ouimet
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1699814681
PECOS PAC ID: 3072688407
Enrollment ID: I20121011000769
Provider NameRobert Adams
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1396905725
PECOS PAC ID: 7618127465
Enrollment ID: I20121101000350
Provider NameAnne Lucy Williams
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689722829
PECOS PAC ID: 3476792896
Enrollment ID: I20130615000152
Provider NameDebra M Ouyang
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1174753826
PECOS PAC ID: 2163647074
Enrollment ID: I20140709002694
Provider NameKatherine G Hemela
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1730354119
PECOS PAC ID: 2668794728
Enrollment ID: I20141201001942
Provider NameEric Bugna
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1255339099
PECOS PAC ID: 1658503768
Enrollment ID: I20150114000443
Provider NameJohn Thomas Hibler
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1588822670
PECOS PAC ID: 6901118660
Enrollment ID: I20161206000056
Provider NameWilliam Boutelle
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1366433252
PECOS PAC ID: 9739100454
Enrollment ID: I20170621001202
Provider NameCatherine Colpitts
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285051243
PECOS PAC ID: 9830317742
Enrollment ID: I20170816001767
Provider NameIrene Wojtkiewicz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093848269
PECOS PAC ID: 1355578097
Enrollment ID: I20180426001881
Provider NameDaniel Stoll
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255713418
PECOS PAC ID: 1951696707
Enrollment ID: I20180905001515
Provider NameRobin K Jaquez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740366087
PECOS PAC ID: 1850523564
Enrollment ID: I20180914002429
Provider NameChristina Kaelin Potter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619106408
PECOS PAC ID: 4587829031
Enrollment ID: I20181005001722
Provider NameSunnie Lee Skiles
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1033281365
PECOS PAC ID: 7214274265
Enrollment ID: I20190129001519
Provider NameKevin Kuo
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1881125573
PECOS PAC ID: 6204172596
Enrollment ID: I20200407003090
Provider NameDana Culp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699213967
PECOS PAC ID: 1850701145
Enrollment ID: I20201027001619
Provider NameTrevor Allen Daniels
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1952434094
PECOS PAC ID: 0042693160
Enrollment ID: I20220822002764
Provider NameBrenda Churchman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548709918
PECOS PAC ID: 5294012035
Enrollment ID: I20221121001452
Provider NameKathryn Emily Bynum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659002665
PECOS PAC ID: 8325424351
Enrollment ID: I20221214000267
Provider NameBrinley Shaw West
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891567483
PECOS PAC ID: 5799138053
Enrollment ID: I20240202001065

Reviews and Comments


General Acute Care Hospital in Portola, CA

Pine Street Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 145 N Pine St, Portola, CA 96122
Phone: 530-832-6500    

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.