Community Medical Center Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Georgetown, Indiana. The current practice location for Community Medical Center Llc is 5300 State Road 64 Ste 101, Georgetown, Indiana. For appointments, you can reach them via phone at
(812) 590-1600. The mailing address for Community Medical Center Llc is 5300 State Road 64 Ste 101, Georgetown, Indiana and phone number is (812) 590-1600.
Community Medical Center Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1891311791. 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
(812) 590-1600.
Primary Care Clinic Profile
| Full Name | Community Medical Center Llc |
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| Speciality | Clinic/Center |
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| Location | 5300 State Road 64 Ste 101, Georgetown, Indiana |
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| Authorized Official Name and Position | Syed Bokhari (PRACTICE MANAGER) |
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| Authorized Official Contact | 8125901600 |
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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 |
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Community Medical Center Llc
5300 State Road 64 Ste 101
Georgetown
IN 47122-9178
Ph: (812) 590-1600 | Community Medical Center Llc
5300 State Road 64 Ste 101
Georgetown
IN 47122-9178
Ph: (812) 590-1600 |
NPI Details:
| NPI Number | 1891311791 |
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| Provider Enumeration Date | 06/17/2020 |
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| Last Update Date | 06/17/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 2466879002 |
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| Medicare Enrollment ID | O20200827003757 |
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Medical Identifiers
Medical identifiers for Community Medical Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891311791 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Community Medical Center Llc acts as a billing entity for following providers:
| Provider Name | Hammad H Bokhari |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1104832161
PECOS PAC ID: 3678532678
Enrollment ID: I20051114001026 |
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| Provider Name | Treasa A Grangier |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1821340506
PECOS PAC ID: 8022260561
Enrollment ID: I20121210000321 |
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| Provider Name | Agustin Ramirez |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1982963740
PECOS PAC ID: 1153568175
Enrollment ID: I20160201002810 |
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