- Medicare Primary Care in Interlachen, FL

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Interlachen, Florida. The current practice location for is 1213 State Road 20, Interlachen, Florida. For appointments, you can reach them via phone at (386) 684-4914. The mailing address for is 1302 River St, Palatka, Florida and phone number is (386) 328-0108.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1477529311. 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 (386) 684-4914.

Contact Information

1213 State Road 20
Interlachen
FL 32148-2737
(386) 684-4914
(386) 684-4154

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location1213 State Road 20, Interlachen, Florida
Authorized Official Name and PositionLaura M. Spencer (PRESIDENT/CHIEF EXECUTIVE OFFICER)
Authorized Official Contact3863280108
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

1302 River St
Palatka
FL 32177-5042

Ph: (386) 328-0108
1213 State Road 20
Interlachen
FL 32148-2737

Ph: (386) 684-4914

NPI Details:

NPI Number1477529311
Provider Enumeration Date02/28/2006
Last Update Date02/13/2020

Medicare PECOS Information:

Medicare PECOS PAC ID7214849520
Medicare Enrollment IDO20031106000267

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477529311NPI-NPPES
101251779MedicaidFL
029543402MedicaidFL
CF6528OtherFLMEDICARE RAILROAD
037641801MedicaidFL
99262OtherFLBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QC1500XClinic/center - Community Health L8000010911 (Florida)Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Reviews and Comments


Clinic/Center in Interlachen, FL


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.