Countryside Medical Clinic, Llc in Red Oak, IA

Countryside Medical Clinic, Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Red Oak, Iowa. The current practice location for Countryside Medical Clinic, Llc is 1959 200th St, Red Oak, Iowa. For appointments, you can reach them via phone at (712) 629-0040. The mailing address for Countryside Medical Clinic, Llc is 1959 200th St, Red Oak, Iowa and phone number is (712) 629-0040.

Countryside Medical Clinic, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1396103685. 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 (712) 629-0040.

Contact Information

	Countryside Medical Clinic, Llc
	1959 200th St Red Oak IA 51566-3218
	(712) 629-0040
	(712) 566-5049

Map and Direction

Primary Care Clinic Profile

Full Name	Countryside Medical Clinic, Llc
Speciality	Clinic/Center
Location	1959 200th St, Red Oak, Iowa
Authorized Official Name and Position	Kimberly Lynn Rines (NURSE PRACTITIONER)
Authorized Official Contact	7126290040
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Countryside Medical Clinic, Llc 1959 200th St Red Oak IA 51566-3218 Ph: (712) 629-0040	Countryside Medical Clinic, Llc 1959 200th St Red Oak IA 51566-3218 Ph: (712) 629-0040

NPI Details:

NPI Number	1396103685
Provider Enumeration Date	02/02/2016
Last Update Date	12/12/2018

Medicare PECOS Information:

Medicare PECOS PAC ID	5890090294
Medicare Enrollment ID	O20160223001653

Medical Identifiers

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

Identifier	Type	State	Issuer
1396103685	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Countryside Medical Clinic, Llc acts as a billing entity for following providers:

Provider Name	Kimberly Lynn Rines
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1932455052 PECOS PAC ID: 1557512456 Enrollment ID: I20121126000521

Reviews and Comments

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Countryside Medical Clinic, Llc - Medicare Primary Care in Red Oak, IA