Austwell-tivoli Medical Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Tivoli, Texas. The current practice location for Austwell-tivoli Medical Clinic is 106 W Wilson, Tivoli, Texas. For appointments, you can reach them via phone at
(361) 286-0115. The mailing address for Austwell-tivoli Medical Clinic is 106 W Wilson, Tivoli, Texas and phone number is (361) 286-0115.
Austwell-tivoli Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1427005578. 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
(361) 286-0115.
Primary Care Clinic Profile
| Full Name | Austwell-tivoli Medical Clinic |
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| Speciality | Clinic/Center |
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| Location | 106 W Wilson, Tivoli, Texas |
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| Authorized Official Name and Position | Corey Wasicek (CEO) |
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| Authorized Official Contact | 3615262321 |
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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 |
|---|
Austwell-tivoli Medical Clinic
106 W Wilson
Tivoli
TX 77990-5802
Ph: (361) 286-0115 | Austwell-tivoli Medical Clinic
106 W Wilson
Tivoli
TX 77990-5802
Ph: (361) 286-0115 |
NPI Details:
| NPI Number | 1427005578 |
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| Provider Enumeration Date | 05/27/2006 |
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| Last Update Date | 06/12/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1153216783 |
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| Medicare Enrollment ID | O20170208000822 |
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Medical Identifiers
Medical identifiers for Austwell-tivoli Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427005578 | NPI | - | NPPES |
| 0636243-01 | Medicaid | TX | |
| 063624302 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 261QC0050X | Clinic/center - Critical Access Hospital | (Texas) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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