Peninsula Behavioral Health - Medicare Primary Care in Port Angeles, WA

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Peninsula Behavioral Health is a medicare enrolled primary clinic (Community/behavioral Health) in Port Angeles, Washington. The current practice location for Peninsula Behavioral Health is 118 E 8th St, Port Angeles, Washington. For appointments, you can reach them via phone at (360) 457-0431. The mailing address for Peninsula Behavioral Health is 118 E 8th St, Port Angeles, Washington and phone number is (360) 457-0431.

Peninsula Behavioral Health is licensed to practice in Washington (license number ). The clinic also participates in the medicare program and its NPI number is 1760519060. 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) 457-0431.

Contact Information

Peninsula Behavioral Health
118 E 8th St
Port Angeles
WA 98362-6129
(360) 457-0431
(360) 457-0493

Map and Direction


Primary Care Clinic Profile

Full NamePeninsula Behavioral Health
SpecialityCommunity/Behavioral Health
Location118 E 8th St, Port Angeles, Washington
Authorized Official Name and PositionWendy A Sisk (EXECUTIVE DIRECTOR)
Authorized Official Contact3604570431
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Peninsula Behavioral Health
118 E 8th St
Port Angeles
WA 98362-6129

Ph: (360) 457-0431		Peninsula Behavioral Health
118 E 8th St
Port Angeles
WA 98362-6129

Ph: (360) 457-0431

NPI Details:

NPI Number1760519060
Provider Enumeration Date02/27/2007
Last Update Date03/17/2021

Medicare PECOS Information:

Medicare PECOS PAC ID7416845870
Medicare Enrollment IDO20040503001304

Medical Identifiers

Medical identifiers for Peninsula Behavioral Health such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760519060NPI-NPPES
9647298MedicaidWA
1980606MedicaidWA
7130883MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (Washington)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Peninsula Behavioral Health acts as a billing entity for following providers:
Provider NameJoseph W Reis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376583674
PECOS PAC ID: 1254230741
Enrollment ID: I20040105000099
Provider NameKathy L Shannon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689755811
PECOS PAC ID: 8022077551
Enrollment ID: I20041008000818
Provider NameSarah Frances Winternitz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1912075169
PECOS PAC ID: 2163470105
Enrollment ID: I20050106000761
Provider NameChristine S Burnell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598795874
PECOS PAC ID: 5092746651
Enrollment ID: I20050824000460
Provider NameJulie A Calabria
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811025414
PECOS PAC ID: 3375561285
Enrollment ID: I20051109000803
Provider NameMargaret M Depew
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083742845
PECOS PAC ID: 0042238859
Enrollment ID: I20051109000866
Provider NameKelly M Cook
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073810669
PECOS PAC ID: 3577736131
Enrollment ID: I20140812002207
Provider NameTimi E Iddings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518112135
PECOS PAC ID: 7618032400
Enrollment ID: I20140825002397
Provider NameBecky L Godby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528045085
PECOS PAC ID: 0042342651
Enrollment ID: I20150520000213
Provider NameKathleen M Sullivan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306095955
PECOS PAC ID: 1951460351
Enrollment ID: I20160914001784
Provider NameSarah Mb Lewis
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1912260936
PECOS PAC ID: 0446538391
Enrollment ID: I20161026003054
Provider NameDanielle A Deoliveira
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700934288
PECOS PAC ID: 0547546632
Enrollment ID: I20170403002199
Provider NameLinda M Boardman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154859585
PECOS PAC ID: 4284905142
Enrollment ID: I20170810002504
Provider NameKerrie Buis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578849865
PECOS PAC ID: 4183967060
Enrollment ID: I20191007000625
Provider NamePatricia A Jordan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285029835
PECOS PAC ID: 1658742101
Enrollment ID: I20230120002061
Provider NameLauren T Mosley
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811558471
PECOS PAC ID: 3375916323
Enrollment ID: I20230222002430
Provider NameKathy S Edison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700521184
PECOS PAC ID: 7911384573
Enrollment ID: I20230613001558
Provider NameAndrea L Blake
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1871954941
PECOS PAC ID: 0941653455
Enrollment ID: I20240131004847
Provider NameJanno L Scheer
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1154571891
PECOS PAC ID: 2961845284
Enrollment ID: I20240202003653
Provider NameChristina A Chadick
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1407313059
PECOS PAC ID: 5294178521
Enrollment ID: I20240202003864
Provider NameDena R Crosby
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1982759643
PECOS PAC ID: 8224272968
Enrollment ID: I20240203000170
Provider NameYaoying Aichele
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1336604768
PECOS PAC ID: 7618310954
Enrollment ID: I20240203000373
Provider NameAngelique M Berglund
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1215374301
PECOS PAC ID: 7315380524
Enrollment ID: I20240205002657
Provider NameDeborah J Christiansen
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1073857595
PECOS PAC ID: 5799120630
Enrollment ID: I20240229004181
Provider NameJessica M Freeze
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578028668
PECOS PAC ID: 9335689793
Enrollment ID: I20240911004615
Provider NameAshlee N Reaves
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1629748710
PECOS PAC ID: 1557802451
Enrollment ID: I20240918004637
Provider NameVictoria A Rockholt
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1467899773
PECOS PAC ID: 6002347945
Enrollment ID: I20241003000833
Provider NameAmanda Z Truman
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1386343556
PECOS PAC ID: 4486185220
Enrollment ID: I20241003001146
Provider NameWendy Sue Olsen
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1942485164
PECOS PAC ID: 2567738172
Enrollment ID: I20241009004322
Provider NameKathleen R Davis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093469025
PECOS PAC ID: 0648707687
Enrollment ID: I20250102002213

Reviews and Comments


Community/Behavioral Health in Port Angeles, WA

Robert R. Witham, Md. Inc,ps
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 224 N Washington St, Port Angeles, WA 98362
Phone: 360-452-5322    Fax: 360-452-5236
North Olympic Healthcare Network
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 240 W Front St, Suite A, Port Angeles, WA 98362
Phone: 360-452-7891    Fax: 360-452-8087
Cammacks Pharmacies Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 424 E 2nd St Ste A, Port Angeles, WA 98362
Phone: 360-504-3961    Fax: 360-452-4288
Lower Elwha Klallam Tribe
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3080 Lower Elwha Rd, Port Angeles, WA 98363
Phone: 360-452-8471    Fax: 360-457-8429
Family Medicine Of Port Angeles Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 240 W Front St Ste A, Port Angeles, WA 98362
Phone: 360-452-7891    Fax: 360-452-8087
Family Medicine Of Port Angeles Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 920 Caroline St, Port Angeles, WA 98362
Phone: 360-452-7891    Fax: 360-782-7891
Clinicare Of Port Angeles Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 621 E Front St, Port Angeles, WA 98362
Phone: 360-452-5000    Fax: 360-452-0228

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.