<unavail> in Pine Bush, NY - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Pine Bush, New York. The current practice location for is 99 Cameron St, Pine Bush, New York. For appointments, you can reach them via phone at (845) 563-8000. The mailing address for is 2570 Route 9w Ste 10, Cornwall, New York and phone number is (845) 220-3100.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1215550009. 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 (845) 563-8000.

Contact Information


	99 Cameron St Pine Bush NY 12566-7113
	(845) 563-8000
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	99 Cameron St, Pine Bush, New York
Authorized Official Name and Position	David Jolly (CEO)
Authorized Official Contact	8452203165
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2570 Route 9w Ste 10 Cornwall NY 12518-1370 Ph: (845) 220-3100	99 Cameron St Pine Bush NY 12566-7113 Ph: (845) 563-8000

NPI Details:

NPI Number	1215550009
Provider Enumeration Date	05/27/2020
Last Update Date	01/10/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	4880610393
Medicare Enrollment ID	O20180227001477

Medical Identifiers

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

Identifier	Type	State	Issuer
1215550009	NPI	-	NPPES

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 Pine Bush, NY

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 127 Route 302, Pine Bush, NY 12566 Phone: 845-744-3669 Fax: 845-744-6735
Dr Ericka M Valenzuela Medical Office, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 76 Boniface Dr Ste 1, Pine Bush, NY 12566 Phone: 845-545-6212 Fax: 845-345-6212
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Cameron Street, Pine Bush, NY 12566 Phone: 845-744-2067 Fax: 845-343-5390

- Medicare Primary Care in Pine Bush, NY