<unavail> in Victorville, CA - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine) in Victorville, California. The current practice location for is 12677 Hesperia Rd, Ste 120, Victorville, California. For appointments, you can reach them via phone at (760) 951-5938. The mailing address for is 12677 Hesperia Rd, Ste 120, Victorville, California and phone number is (760) 951-5938.

is licensed to practice in California (license number A52515). The clinic also participates in the medicare program and its NPI number is 1588731202. 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 (760) 951-5938.

Contact Information


	12677 Hesperia Rd Ste 120 Victorville CA 92395-7735
	(760) 951-5938
	(760) 951-5948

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	12677 Hesperia Rd, Victorville, California
Authorized Official Name and Position	Agnes G Quion (PRESIDENT)
Authorized Official Contact	7609515938
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
12677 Hesperia Rd Ste 120 Victorville CA 92395-7735 Ph: (760) 951-5938	12677 Hesperia Rd Ste 120 Victorville CA 92395-7735 Ph: (760) 951-5938

NPI Details:

NPI Number	1588731202
Provider Enumeration Date	11/29/2006
Last Update Date	03/07/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	8820035330
Medicare Enrollment ID	O20050414001297

Medical Identifiers

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

Identifier	Type	State	Issuer
1588731202	NPI	-	NPPES
00A525150	Other	CA	MEDICAL BOARD CA
GR0082000	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A52515 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Agnes G Quion
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1124141122 PECOS PAC ID: 1658435755 Enrollment ID: I20090205000081

Reviews and Comments

Internal Medicine in Victorville, CA

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12625 Hesperia Rd, Victorville, CA 92395 Phone: 909-382-3080 Fax: 909-382-3105
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- Medicare Primary Care in Victorville, CA