Agusti Medical Corporation is a medicare enrolled primary clinic (Internal Medicine) in Winfield, Indiana. The current practice location for Agusti Medical Corporation is 4900 E 107th Ct, Winfield, Indiana. For appointments, you can reach them via phone at
(219) 386-5018. The mailing address for Agusti Medical Corporation is 4900 E 107th Ct, Winfield, Indiana and phone number is (219) 900-3990.
Agusti Medical Corporation is licensed to practice in Indiana (license number 01061624A). The clinic also participates in the medicare program and its
NPI number is 1861621575. 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
(219) 386-5018.
Primary Care Clinic Profile
| Full Name | Agusti Medical Corporation |
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| Speciality | Internal Medicine |
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| Location | 4900 E 107th Ct, Winfield, Indiana |
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| Authorized Official Name and Position | Jose L Agusti (PRESIDENT) |
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| Authorized Official Contact | 2199003990 |
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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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Agusti Medical Corporation
4900 E 107th Ct
Winfield
IN 46307-2862
Ph: (219) 900-3990 | Agusti Medical Corporation
4900 E 107th Ct
Winfield
IN 46307-2862
Ph: (219) 386-5018 |
NPI Details:
| NPI Number | 1861621575 |
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| Provider Enumeration Date | 07/02/2009 |
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| Last Update Date | 12/27/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 0749334019 |
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| Medicare Enrollment ID | O20090820000648 |
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Medical Identifiers
Medical identifiers for Agusti Medical Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861621575 | NPI | - | NPPES |
| 200832510 | Medicaid | IN | |
| 200967510A | Medicaid | IN | |
| P00778872,DP6718 | Other | IN | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 01061624A (Indiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Agusti Medical Corporation acts as a billing entity for following providers:
| Provider Name | Jose L Agusti |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1033192604
PECOS PAC ID: 4688569122
Enrollment ID: I20060724000077 |
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