The Bonanza Clinic is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Bonanza, Oregon. The current practice location for The Bonanza Clinic is 31863 Hwy 70, Bonanza, Oregon. For appointments, you can reach them via phone at
(541) 545-1820. The mailing address for The Bonanza Clinic is 31863 Hwy 70, Bonanza, Oregon and phone number is (541) 545-1820.
The Bonanza Clinic is licensed to practice in Oregon (license number 93006519). The clinic also participates in the medicare program and its
NPI number is 1730181926. 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
(541) 545-1820.
Primary Care Clinic Profile
| Full Name | The Bonanza Clinic |
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| Speciality | Clinic/Center |
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| Location | 31863 Hwy 70, Bonanza, Oregon |
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| Authorized Official Name and Position | Michael Aaron Sheets (OWNER OPERATOR) |
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| Authorized Official Contact | 5415451820 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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The Bonanza Clinic
31863 Hwy 70
Bonanza
OR 97623-0440
Ph: (541) 545-1820 | The Bonanza Clinic
31863 Hwy 70
Bonanza
OR 97623-0440
Ph: (541) 545-1820 |
NPI Details:
| NPI Number | 1730181926 |
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| Provider Enumeration Date | 06/01/2005 |
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| Last Update Date | 04/18/2012 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 6002024072 |
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| Medicare Enrollment ID | O20120308000581 |
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Medical Identifiers
Medical identifiers for The Bonanza Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730181926 | NPI | - | NPPES |
| R162513 | Other | OR | MEDICARE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QP2300X | Clinic/center - Primary Care | 93006519 (Oregon) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
The Bonanza Clinic acts as a billing entity for following providers:
| Provider Name | Michael Sheets |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1548262876
PECOS PAC ID: 3274741244
Enrollment ID: I20110111000851 |
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