Premier Wound Healing
NPI 1407554819ActiveOrganization· Dermatology· Bend, OR
Dermatology in Bend, Oregon, registered in NPPES in February 2023. The authorized official on file is Leslie Carter, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407554819 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 16, 2023 |
| Last updated in NPPES | Mar 28, 2024 |
| Certified by provider | Mar 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Registered Nurse, Wound Care | 163WW0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
Other Dermatology providers in Bend
- 1902635550
- 1649244393
- 1780846501
- 1366492530
- 1447713573
- 1134856404
- 1962431627
- 1447764741
- 1871954214
- 1326864059
- 1841277241
- 1730168014