10th Street Clinic - Medicare Primary Care in Richmond, IN

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10th Street Clinic is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Richmond, Indiana. The current practice location for 10th Street Clinic is 101 S 10th St, Richmond, Indiana. For appointments, you can reach them via phone at (765) 965-4299. The mailing address for 10th Street Clinic is 1100 Reid Pkwy, Richmond, Indiana and phone number is (765) 965-4299.

10th Street Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1679086888. 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 (765) 965-4299.

Contact Information

10th Street Clinic
101 S 10th St
Richmond
IN 47374-5547
(765) 965-4299
(765) 962-0030

Map and Direction


Primary Care Clinic Profile

Full Name10th Street Clinic
SpecialityClinic/Center
Location101 S 10th St, Richmond, Indiana
Authorized Official Name and PositionMisty Nash (DIRECTOR)
Authorized Official Contact7659833127
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
10th Street Clinic
1100 Reid Pkwy
Richmond
IN 47374-1157

Ph: (765) 965-4299		10th Street Clinic
101 S 10th St
Richmond
IN 47374-5547

Ph: (765) 965-4299

NPI Details:

NPI Number1679086888
Provider Enumeration Date11/09/2017
Last Update Date09/04/2020

Medicare PECOS Information:

Medicare PECOS PAC ID6608139621
Medicare Enrollment IDO20180404001428

Medical Identifiers

Medical identifiers for 10th Street Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679086888NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. 10th Street Clinic acts as a billing entity for following providers:
Provider NamePaulette I Worcester
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891764593
PECOS PAC ID: 1052355419
Enrollment ID: I20050616000170
Provider NamePatrick R Anderson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508896960
PECOS PAC ID: 4688626989
Enrollment ID: I20090129000525
Provider NamePhillip C Scott
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235125816
PECOS PAC ID: 5496757726
Enrollment ID: I20090202000470
Provider NameLisa Mann
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1841508231
PECOS PAC ID: 5890988786
Enrollment ID: I20101025000090
Provider NameShannon M Shuman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225582786
PECOS PAC ID: 4587959291
Enrollment ID: I20160819001224
Provider NameAndy N. Tran
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467895524
PECOS PAC ID: 8022251297
Enrollment ID: I20160920000604
Provider NameVenassia L. Howard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770033417
PECOS PAC ID: 5193013035
Enrollment ID: I20161121000476
Provider NameRick L Beck
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164462255
PECOS PAC ID: 0547282519
Enrollment ID: I20171227001281
Provider NameDenise R Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962920785
PECOS PAC ID: 3577822956
Enrollment ID: I20180110000424
Provider NameMiranda Gardner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114406568
PECOS PAC ID: 4981956034
Enrollment ID: I20181017003518
Provider NameCrystal Bohse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992344105
PECOS PAC ID: 3375979586
Enrollment ID: I20200229000138
Provider NameAndrew Shaw
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1982644175
PECOS PAC ID: 0446204929
Enrollment ID: I20200427000693
Provider NameKaren Marie Carpenter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699348706
PECOS PAC ID: 5698179034
Enrollment ID: I20210809000282
Provider NameMikeia S Yett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235506239
PECOS PAC ID: 3971995036
Enrollment ID: I20220121001775
Provider NameMichael Sizemore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184335762
PECOS PAC ID: 3870966559
Enrollment ID: I20230228000595
Provider NameAshley Nicole Razor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538875026
PECOS PAC ID: 1759740301
Enrollment ID: I20230629003633
Provider NameRebecca Lynn Alford
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1871187377
PECOS PAC ID: 0840654273
Enrollment ID: I20230918003296
Provider NameJoanna K Lizak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083394712
PECOS PAC ID: 5597113563
Enrollment ID: I20231201000240

Reviews and Comments


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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.