| Fall Creek Internal Medicine, Llp | |
|
2160 Ne Williamson Ct Bend OR 97701-3760 | |
| (541) 389-1118 | |
| (541) 389-2662 |
| Full Name | Fall Creek Internal Medicine, Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 2160 Ne Williamson Ct, Bend, Oregon |
| Authorized Official Name and Position | Nita A Hollums (OFFICE MANAGER) |
| Authorized Official Contact | 5413891118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fall Creek Internal Medicine, Llp 2160 Ne Williamson Ct Bend OR 97701-3760 Ph: (541) 389-1118 | Fall Creek Internal Medicine, Llp 2160 Ne Williamson Ct Bend OR 97701-3760 Ph: (541) 389-1118 |
| NPI Number | 1518005222 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7810980497 |
|---|---|
| Medicare Enrollment ID | O20040407001576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518005222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Patricia N Nibler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386708873 PECOS PAC ID: 3870618895 Enrollment ID: I20100914001404 |
| Provider Name | Kathryn M Kocurek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790849131 PECOS PAC ID: 4789709700 Enrollment ID: I20100914001405 |
| Provider Name | Kristin M Vandomelen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710117122 PECOS PAC ID: 3577716919 Enrollment ID: I20140527000515 |
| Provider Name | Monica R Mattick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902298151 PECOS PAC ID: 7214210731 Enrollment ID: I20170208000189 |
| Provider Name | Brittany L Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942434717 PECOS PAC ID: 6901033208 Enrollment ID: I20190327001669 |
Pine Springs Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 Ne Irving Ave, Bend, OR 97701 Phone: 541-330-9110 | |
St. Charles Health System, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 | |
Mosaic Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2577 Ne Courtney Dr Ste 100, Bend, OR 97701 Phone: 541-383-3005 | |
Adam Derr, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 528 Ne Greenwood Ave, Bend, OR 97701 Phone: 541-385-7890 Fax: 541-388-2606 | |
Driven Enterprises Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20700 Wandalea Dr, Bend, OR 97701 Phone: 435-669-2930 | |
Bend Plastic & Reconstructive Surgery, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1239 Ne Medical Center Dr Ste 240, Bend, OR 97701 Phone: 541-749-2282 Fax: 541-749-2283 | |
Neuro Speech Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1372 Ne Whisper Ridge Dr Apt 3, Bend, OR 97701 Phone: 541-204-1757 |