Applecare Memorial Immediate Care Joint Venture Llc - Medicare Primary Care in Savannah, GA

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Applecare Memorial Immediate Care Joint Venture Llc is a medicare enrolled primary clinic (Clinic/center - Urgent Care) in Savannah, Georgia. The current practice location for Applecare Memorial Immediate Care Joint Venture Llc is 14089 Abercorn St, Savannah, Georgia. For appointments, you can reach them via phone at (912) 350-2121. The mailing address for Applecare Memorial Immediate Care Joint Venture Llc is Po Box 671447, Dallas, Texas and phone number is (912) 350-2121.

Applecare Memorial Immediate Care Joint Venture Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1962817601. 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 (912) 350-2121.

Contact Information

Applecare Memorial Immediate Care Joint Venture Llc
14089 Abercorn St
Savannah
GA 31419-1966
(912) 350-2121
(912) 350-2145

Map and Direction


Primary Care Clinic Profile

Full NameApplecare Memorial Immediate Care Joint Venture Llc
SpecialityClinic/Center
Location14089 Abercorn St, Savannah, Georgia
Authorized Official Name and PositionTammy Hash (PROVIDER ENROLLMENT COORDINATOR)
Authorized Official Contact9123509335
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Applecare Memorial Immediate Care Joint Venture Llc
Po Box 671447
Dallas
TX 75267-1447

Ph: (912) 350-2121		Applecare Memorial Immediate Care Joint Venture Llc
14089 Abercorn St
Savannah
GA 31419-1966

Ph: (912) 350-2121

NPI Details:

NPI Number1962817601
Provider Enumeration Date06/20/2014
Last Update Date03/18/2022

Medicare PECOS Information:

Medicare PECOS PAC ID8325267081
Medicare Enrollment IDO20140912000272

Medical Identifiers

Medical identifiers for Applecare Memorial Immediate Care Joint Venture Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962817601NPI-NPPES
003148665AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Applecare Memorial Immediate Care Joint Venture Llc acts as a billing entity for following providers:
Provider NameWayne Hodges
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942233705
PECOS PAC ID: 2769376417
Enrollment ID: I20040212000263
Provider NameCatherine K Dickens
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770670259
PECOS PAC ID: 3577451012
Enrollment ID: I20040308000374
Provider NameSalvatore C Assorgi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083662241
PECOS PAC ID: 2062488588
Enrollment ID: I20040907000888
Provider NameEric Powell
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518942077
PECOS PAC ID: 7113922808
Enrollment ID: I20061003000003
Provider NameGary Fischer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053427690
PECOS PAC ID: 6103846282
Enrollment ID: I20070206000147
Provider NameChristian Wojciech Jansen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1245201144
PECOS PAC ID: 1153404215
Enrollment ID: I20080212000634
Provider NameChristopher J Mathews
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306845458
PECOS PAC ID: 2668542580
Enrollment ID: I20080604000546
Provider NameEugene H Jackson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538165386
PECOS PAC ID: 0840334256
Enrollment ID: I20100224000100
Provider NameStewart V Grizzard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437201407
PECOS PAC ID: 7416907571
Enrollment ID: I20100902000400
Provider NameJennifer B. Bootle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417296898
PECOS PAC ID: 5193962421
Enrollment ID: I20131030001570
Provider NameNathan Samras
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942527692
PECOS PAC ID: 6800012915
Enrollment ID: I20140725002204
Provider NameJoshua Stauffer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427027325
PECOS PAC ID: 5092851345
Enrollment ID: I20151116001442
Provider NamePetrenia A Davis-jenkins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710143128
PECOS PAC ID: 4486957123
Enrollment ID: I20170206000283
Provider NameMiranda D Fincher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669982161
PECOS PAC ID: 1951668581
Enrollment ID: I20171206001839
Provider NameJamie Renee Slump
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245889443
PECOS PAC ID: 2769814763
Enrollment ID: I20191113001021
Provider NameTatiyana Luke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366119653
PECOS PAC ID: 9830589522
Enrollment ID: I20211213001602
Provider NameMonica Richardson Ademola
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679226807
PECOS PAC ID: 1850785783
Enrollment ID: I20220218001168
Provider NameMichelle Fischer-short
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477115319
PECOS PAC ID: 4880924448
Enrollment ID: I20230907004233
Provider NameAiyesha Stiles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306332952
PECOS PAC ID: 2365781457
Enrollment ID: I20231130001183
Provider NameJenna Cottrell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003698408
PECOS PAC ID: 0345690897
Enrollment ID: I20231222002623

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.