Mid-valley Pain Clinic in Salem, OR - Medicare Clinic/Center

Mid-valley Pain Clinic is a medicare enrolled primary clinic (Clinic/center) in Salem, Oregon. The current practice location for Mid-valley Pain Clinic is 3723 Fairview Industrial Dr Se Ste 170, Salem, Oregon. For appointments, you can reach them via phone at (503) 371-1970. The mailing address for Mid-valley Pain Clinic is 3723 Fairview Industrial Dr Se Ste 170, Salem, Oregon and phone number is (503) 371-1970.

Mid-valley Pain Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1275795619. 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) 371-1970.

Contact Information

	Mid-valley Pain Clinic
	3723 Fairview Industrial Dr Se Ste 170 Salem OR 97302-1174
	(503) 371-1970
	(503) 371-0192

Map and Direction

Primary Care Clinic Profile

Full Name	Mid-valley Pain Clinic
Speciality	Clinic/Center
Location	3723 Fairview Industrial Dr Se Ste 170, Salem, Oregon
Authorized Official Name and Position	Shelly R Carlson (OWNER)
Authorized Official Contact	5033711970
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mid-valley Pain Clinic 3723 Fairview Industrial Dr Se Ste 170 Salem OR 97302-1174 Ph: (503) 371-1970	Mid-valley Pain Clinic 3723 Fairview Industrial Dr Se Ste 170 Salem OR 97302-1174 Ph: (503) 371-1970

NPI Details:

NPI Number	1275795619
Provider Enumeration Date	06/26/2008
Last Update Date	09/23/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	4082948732
Medicare Enrollment ID	O20190628001875

Medical Identifiers

Medical identifiers for Mid-valley Pain Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275795619	NPI	-	NPPES
500617813	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (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. Mid-valley Pain Clinic acts as a billing entity for following providers:

Provider Name	David C Brillhart
Provider Type	Practitioner - Clinical Psychologist
Provider Identifiers	NPI Number: 1700170818 PECOS PAC ID: 4385814664 Enrollment ID: I20110824000004

Reviews and Comments

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Mid-valley Pain Clinic - Medicare Primary Care in Salem, OR