<unavail> in Clearlake, CA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Clearlake, California. The current practice location for is 15322 Lakeshore Drive, Suite 101, 102 And 201, Clearlake, California. For appointments, you can reach them via phone at (707) 461-7986. The mailing address for is Po Box 888837, Los Angeles, California and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1477104099. 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 (707) 461-7986.

Contact Information


	15322 Lakeshore Drive Suite 101, 102 And 201 Clearlake CA 95422
	(707) 461-7986
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	15322 Lakeshore Drive, Clearlake, California
Authorized Official Name and Position	Judson H.e. Howe (PRESIDENT)
Authorized Official Contact	7074563010
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 888837 Los Angeles CA 90088-8837 Ph: () -	15322 Lakeshore Drive Suite 101, 102 And 201 Clearlake CA 95422 Ph: (707) 461-7986

NPI Details:

NPI Number	1477104099
Provider Enumeration Date	09/25/2019
Last Update Date	05/29/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	3072421197
Medicare Enrollment ID	O20191126002759

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477104099	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Clearlake, CA

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15322 Lakeshore Dr, Suite 202, Clearlake, CA 95422 Phone: 707-994-0305
Lake County Tribal Health Southshore Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14440 Olympic Drive, Clearlake, CA 95422 Phone: 707-263-8382 Fax: 707-263-5019
Adventist Health Clearlake Hospital, Inc-middletown Family Health Cent Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18th Ave And Highway 53, Clearlake, CA 95422 Phone: 707-987-3311 Fax: 707-987-2455
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15322 Lakeshore Dr, Ste. 201, Clearlake, CA 95422 Phone: 707-994-2920 Fax: 707-994-2917
Marc R Shapiro Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Emerson St, Suite A, Clearlake, CA 95422 Phone: 707-994-7241 Fax: 707-994-0870
Lake County Tribal Health Consortium, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14678 Lakeshore Boulevard, Clearlake, CA 95453 Phone: 707-262-8382
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Drive, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-995-2401

- Medicare Primary Care in Clearlake, CA