Western Skies Wellness Center, Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Island City, Oregon. The current practice location for Western Skies Wellness Center, Llc is 10505 W 1st Street, Island City, Oregon. For appointments, you can reach them via phone at
(541) 663-9008. The mailing address for Western Skies Wellness Center, Llc is 10505 W 1st Street, Island City, Oregon and phone number is (541) 663-9008.
Western Skies Wellness Center, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1124754155. 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) 663-9008.
Primary Care Clinic Profile
| Full Name | Western Skies Wellness Center, Llc |
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| Speciality | Clinic/Center |
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| Location | 10505 W 1st Street, Island City, Oregon |
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| Authorized Official Name and Position | Leon Ross Aylett (NURSE PRACTITIONER) |
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| Authorized Official Contact | 5416639008 |
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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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Western Skies Wellness Center, Llc
10505 W 1st Street
Island City
OR 97850-8484
Ph: (541) 663-9008 | Western Skies Wellness Center, Llc
10505 W 1st Street
Island City
OR 97850-8484
Ph: (541) 663-9008 |
NPI Details:
| NPI Number | 1124754155 |
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| Provider Enumeration Date | 08/01/2022 |
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| Last Update Date | 08/01/2022 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 3971972563 |
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| Medicare Enrollment ID | O20221202000920 |
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Medical Identifiers
Medical identifiers for Western Skies Wellness Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124754155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QP2300X | Clinic/center - Primary Care | (* (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.
Western Skies Wellness Center, Llc acts as a billing entity for following providers:
| Provider Name | Leon R Aylett |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1467917187
PECOS PAC ID: 6204206832
Enrollment ID: I20230126003309 |
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