<unavail> in Austin, TX - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Austin, Texas. The current practice location for is 1221 W Ben White Blvd, Austin, Texas. For appointments, you can reach them via phone at (877) 800-5722. The mailing address for is 205 E University Ave, Suite 200, Georgetown, Texas and phone number is (512) 868-1124.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1417195942. 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 (877) 800-5722.

Contact Information


	1221 W Ben White Blvd Austin TX 78704-7192
	(877) 800-5722
	(512) 868-9894

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1221 W Ben White Blvd, Austin, Texas
Authorized Official Name and Position	Jonathan David Calvin (CEO)
Authorized Official Contact	5129941933
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
205 E University Ave Suite 200 Georgetown TX 78626-6814 Ph: (512) 868-1124	1221 W Ben White Blvd Austin TX 78704-7192 Ph: (877) 800-5722

NPI Details:

NPI Number	1417195942
Provider Enumeration Date	01/21/2009
Last Update Date	09/18/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	5193709392
Medicare Enrollment ID	O20090430000128

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417195942	NPI	-	NPPES
2060444-01	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Austin, TX

Harold D Lewis Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 West William Cannon Drive, Suite 123, Austin, TX 78745 Phone: 512-444-2661 Fax: 512-444-2720
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Doctx3 Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 W Slaughter Ln, Suite 300, Austin, TX 78748 Phone: 469-277-8253

- Medicare Primary Care in Austin, TX