- Medicare Primary Care in Tivoli, TX

  1. Home
  2. Primary Care Clinics
  3. TX
  4. Tivoli
is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Tivoli, Texas. The current practice location for is 106 W Wilson, Tivoli, Texas. For appointments, you can reach them via phone at (361) 286-0115. The mailing address for is 106 W Wilson, Tivoli, Texas and phone number is (361) 286-0115.

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.

Contact Information

106 W Wilson
Tivoli
TX 77990-5802
(361) 286-0115
(361) 286-0256

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location106 W Wilson, Tivoli, Texas
Authorized Official Name and PositionCorey Wasicek (CEO)
Authorized Official Contact3615262321
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

106 W Wilson
Tivoli
TX 77990-5802

Ph: (361) 286-0115
106 W Wilson
Tivoli
TX 77990-5802

Ph: (361) 286-0115

NPI Details:

NPI Number1427005578
Provider Enumeration Date05/27/2006
Last Update Date06/12/2024

Medicare PECOS Information:

Medicare PECOS PAC ID1153216783
Medicare Enrollment IDO20170208000822

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427005578NPI-NPPES
0636243-01MedicaidTX
063624302MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
261QC0050XClinic/center - Critical Access Hospital (Texas)Secondary
261QR1300XClinic/center - Rural Health (* (Not Available))Primary

Reviews and Comments


Clinic/Center in Tivoli, TX


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.