East Albany Medical Center - Medicare Primary Care in Albany, GA

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East Albany Medical Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Albany, Georgia. The current practice location for East Albany Medical Center is 1712-a East Broad Avenue, Albany, Georgia. For appointments, you can reach them via phone at (229) 639-3100. The mailing address for East Albany Medical Center is Po Box 50098, Albany, Georgia and phone number is (229) 639-3100.

East Albany Medical Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1780608992. 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 (229) 639-3100.

Contact Information

East Albany Medical Center
1712-a East Broad Avenue
Albany
GA 31705
(229) 639-3100
(229) 888-6516

Map and Direction


Primary Care Clinic Profile

Full NameEast Albany Medical Center
SpecialityClinic/Center
Location1712-a East Broad Avenue, Albany, Georgia
Authorized Official Name and PositionShelley Spires (CEO)
Authorized Official Contact2298886559
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
East Albany Medical Center
Po Box 50098
Albany
GA 31703-0098

Ph: (229) 639-3100		East Albany Medical Center
1712-a East Broad Avenue
Albany
GA 31705

Ph: (229) 639-3100

NPI Details:

NPI Number1780608992
Provider Enumeration Date07/27/2006
Last Update Date10/15/2015

Medicare PECOS Information:

Medicare PECOS PAC ID7911811922
Medicare Enrollment IDO20040217000509

Medical Identifiers

Medical identifiers for East Albany Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780608992NPI-NPPES
489701989AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (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. East Albany Medical Center acts as a billing entity for following providers:
Provider NameRupert A Dyer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922119650
PECOS PAC ID: 5395641492
Enrollment ID: I20031210000531
Provider NameJames A Hotz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215048988
PECOS PAC ID: 8527049329
Enrollment ID: I20040527000479
Provider NameCherise M James
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1881689271
PECOS PAC ID: 0840256129
Enrollment ID: I20041208000568
Provider NameMary J Neal
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1255433504
PECOS PAC ID: 5890702922
Enrollment ID: I20060315000372
Provider NameJimmie L Felton
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1871592741
PECOS PAC ID: 8820181936
Enrollment ID: I20070906000152
Provider NameElois L Edge
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1598836884
PECOS PAC ID: 9436235512
Enrollment ID: I20080331000066
Provider NameLemuel G Villanueva
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1336107978
PECOS PAC ID: 1153499967
Enrollment ID: I20090203000460
Provider NameLorie N Johnson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1770547267
PECOS PAC ID: 8628070547
Enrollment ID: I20091112000323
Provider NameRita R James
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083944854
PECOS PAC ID: 7012052293
Enrollment ID: I20100301000086
Provider NameDavid Metheny
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538391453
PECOS PAC ID: 9739096652
Enrollment ID: I20100301000186
Provider NameTracy Rosenbaum
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215909361
PECOS PAC ID: 9234267394
Enrollment ID: I20100511000299
Provider NameMichael Sein
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922070077
PECOS PAC ID: 1658409719
Enrollment ID: I20100511000340
Provider NameDeirdre Lawson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225132699
PECOS PAC ID: 1153453782
Enrollment ID: I20100719000065
Provider NameBernard Scoggins
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073624615
PECOS PAC ID: 1052495702
Enrollment ID: I20100719000290
Provider NameIldiko Babka
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1881705507
PECOS PAC ID: 1456483940
Enrollment ID: I20100720000000
Provider NameRobyn Johnson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013019363
PECOS PAC ID: 4688706179
Enrollment ID: I20100720000054
Provider NameCheryl Tolliver
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1962513515
PECOS PAC ID: 9739211269
Enrollment ID: I20100720000454
Provider NameWilliam Mcpeters
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396849766
PECOS PAC ID: 4688706005
Enrollment ID: I20100721000463
Provider NameJohn E Vance
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841301496
PECOS PAC ID: 3577695998
Enrollment ID: I20100721000488
Provider NamePhillip Poulos
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053422675
PECOS PAC ID: 1658403910
Enrollment ID: I20100722000023
Provider NameFrances Ferguson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174750988
PECOS PAC ID: 7113059486
Enrollment ID: I20100722000105
Provider NameSubricca T Hicks
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1598925430
PECOS PAC ID: 0547452542
Enrollment ID: I20101008000775
Provider NameJohn Gordon Ricketson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1710968979
PECOS PAC ID: 1355530585
Enrollment ID: I20110105000876
Provider NameDanielle K Hedden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053618991
PECOS PAC ID: 1759565989
Enrollment ID: I20110412000608
Provider NameRowland O Chigbu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598949687
PECOS PAC ID: 0840460135
Enrollment ID: I20110824000128
Provider NameNick A Carden
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1710969654
PECOS PAC ID: 6406022540
Enrollment ID: I20111220000733
Provider NameAli M. Shropshire
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609185701
PECOS PAC ID: 6901072396
Enrollment ID: I20120106000291
Provider NameIgnatius N. Ohamadike
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730382342
PECOS PAC ID: 2163678293
Enrollment ID: I20120806000703
Provider NameClare Soileau Terry
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1760746911
PECOS PAC ID: 1355597105
Enrollment ID: I20120809000449
Provider NameMary Elizabeth Webb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700132792
PECOS PAC ID: 4082861943
Enrollment ID: I20120828000474
Provider NameFrances Heard Parrish
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124320502
PECOS PAC ID: 0446499438
Enrollment ID: I20130624000636
Provider NameCurtrina F Strozier
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1720215304
PECOS PAC ID: 8224279757
Enrollment ID: I20130726000058
Provider NameBrittany Foulkes Crenshaw
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215257597
PECOS PAC ID: 1153566013
Enrollment ID: I20130820000282
Provider NameKamesha M Harbison
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1982833117
PECOS PAC ID: 4486800703
Enrollment ID: I20130909000157
Provider NameCrystal Nicole Settle
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1508284654
PECOS PAC ID: 8527281815
Enrollment ID: I20140513001261
Provider NameMonique Cheryl Adu
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1811286339
PECOS PAC ID: 7911127063
Enrollment ID: I20141013001498
Provider NameJani Marie Dennis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699174128
PECOS PAC ID: 5193042448
Enrollment ID: I20150325000953
Provider NameLefelian D Robinson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1972905701
PECOS PAC ID: 4981837630
Enrollment ID: I20150402000714
Provider NameAlesia R Christian
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801287917
PECOS PAC ID: 2264750702
Enrollment ID: I20150414001724
Provider NameKyle Watson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316328214
PECOS PAC ID: 1355656497
Enrollment ID: I20150818005068
Provider NameMelissa H Dozier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548646656
PECOS PAC ID: 3678881182
Enrollment ID: I20151002001393
Provider NameSt Claire Gitau Sumaili
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275911828
PECOS PAC ID: 3577871094
Enrollment ID: I20151002001836
Provider NameLavendra Vanrea Shootes-miller
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1700092418
PECOS PAC ID: 1254623739
Enrollment ID: I20160630002046
Provider NameMelissa M Stevenson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477908580
PECOS PAC ID: 1052604600
Enrollment ID: I20160720001142
Provider NameCatherine Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861841579
PECOS PAC ID: 6204120488
Enrollment ID: I20160810002616
Provider NameJoana Dorwuona-tettey
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1861817181
PECOS PAC ID: 2860787710
Enrollment ID: I20160817001170
Provider NameEmmanuel Eyefia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306390349
PECOS PAC ID: 8123308764
Enrollment ID: I20161216001908
Provider NameDonica R Spencer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265972954
PECOS PAC ID: 2163707456
Enrollment ID: I20170329001427
Provider NameVanessa Bullard Kurtz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396285037
PECOS PAC ID: 5294003406
Enrollment ID: I20170612002452
Provider NameErin Pate
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780112227
PECOS PAC ID: 6305117102
Enrollment ID: I20170811001050
Provider NameChimezie Obinna Nlewem
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114364130
PECOS PAC ID: 5698048361
Enrollment ID: I20170830003397
Provider NameHezikiah Brodrick Johnson Iii
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1891867347
PECOS PAC ID: 7214200237
Enrollment ID: I20170913001077
Provider NameSarah E Tanner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235659533
PECOS PAC ID: 4284993544
Enrollment ID: I20180111001647
Provider NameKatherine Hanson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265939417
PECOS PAC ID: 6800143744
Enrollment ID: I20180723003294
Provider NameCourtney Michele Chapman
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1891170379
PECOS PAC ID: 4385992478
Enrollment ID: I20180806003258
Provider NameStacia L Dzikunu
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1598171126
PECOS PAC ID: 0446571467
Enrollment ID: I20180905002880
Provider NameMelissa Anne Hardison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386078624
PECOS PAC ID: 7810248937
Enrollment ID: I20180927003007
Provider NameMichele Cainas Holzman
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1801367339
PECOS PAC ID: 7719224062
Enrollment ID: I20190124003698
Provider NameLaura L Copeland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124542717
PECOS PAC ID: 4284976218
Enrollment ID: I20190423002175
Provider NameSarah Elizabeth Waling
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1881057792
PECOS PAC ID: 1850665126
Enrollment ID: I20190903002881
Provider NameSamuel Waling
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053774018
PECOS PAC ID: 5991070013
Enrollment ID: I20190923001788
Provider NameSheena Elois Favors
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1013321694
PECOS PAC ID: 1052642998
Enrollment ID: I20191008001911
Provider NameBelinda J Menke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679103147
PECOS PAC ID: 8224466149
Enrollment ID: I20200306002012
Provider NameLynette Marie Talley
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1265686083
PECOS PAC ID: 5193146306
Enrollment ID: I20200526001356
Provider NameMonica Denise Dawson
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1225232853
PECOS PAC ID: 8123430493
Enrollment ID: I20201209003196
Provider NameShariah M Solomon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689025991
PECOS PAC ID: 5294020012
Enrollment ID: I20210107000048
Provider NameDesiree Dalcherone
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1053863449
PECOS PAC ID: 9537572730
Enrollment ID: I20210107001453
Provider NameRebecca L. Lockwood
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1295922482
PECOS PAC ID: 7810982899
Enrollment ID: I20210226000014
Provider NameJamila K Cruz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083223135
PECOS PAC ID: 6305240920
Enrollment ID: I20210804001663
Provider NameJana Hart Brock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891278107
PECOS PAC ID: 8022406503
Enrollment ID: I20211103000191
Provider NameElisa C Faulk
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1871887612
PECOS PAC ID: 4284806563
Enrollment ID: I20211104002245
Provider NameJacqueline Mclatchy
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1811239403
PECOS PAC ID: 7618239047
Enrollment ID: I20211208002650
Provider NameJerry Allen Lucas
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1912016742
PECOS PAC ID: 9032263876
Enrollment ID: I20220128001133
Provider NameTiara S Marshall
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1528689577
PECOS PAC ID: 2567855521
Enrollment ID: I20220215002099
Provider NameJeala Barnett
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1790217131
PECOS PAC ID: 5092109637
Enrollment ID: I20220225000346
Provider NameErica A Wessels
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1811669153
PECOS PAC ID: 5799172383
Enrollment ID: I20220429000561
Provider NameDiane Hamon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1497380133
PECOS PAC ID: 0042607475
Enrollment ID: I20220503001649
Provider NameLaurie A Lewis
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1588308795
PECOS PAC ID: 9638557853
Enrollment ID: I20220531002165
Provider NameDanice B Roberts
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215199203
PECOS PAC ID: 5395932081
Enrollment ID: I20220718003948
Provider NameKristi M Swanson
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1851049423
PECOS PAC ID: 7315329166
Enrollment ID: I20220727000310
Provider NameBianca Rickesha Waters
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1255867131
PECOS PAC ID: 4688945223
Enrollment ID: I20220727001578
Provider NameNayankumar B Patel
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1386375863
PECOS PAC ID: 6608252598
Enrollment ID: I20220929002441
Provider NamePouria Farhadi Amiri
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1356089395
PECOS PAC ID: 3779969670
Enrollment ID: I20220929002953
Provider NameRebecca Lynn Wilkes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588623540
PECOS PAC ID: 4082671680
Enrollment ID: I20221026000464
Provider NameChihurum A Chigbu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659097327
PECOS PAC ID: 7113394826
Enrollment ID: I20221109003413
Provider NameMartha P Weston
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1598950701
PECOS PAC ID: 3476634908
Enrollment ID: I20221114000114
Provider NameJessica M Grant
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770148801
PECOS PAC ID: 6709254535
Enrollment ID: I20221128002714
Provider NameMonica L White
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730898230
PECOS PAC ID: 8628447810
Enrollment ID: I20221209002021
Provider NameDonna E Connors
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1902894371
PECOS PAC ID: 5294625125
Enrollment ID: I20230103000114
Provider NameXiomara I Okonkwo
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1174058812
PECOS PAC ID: 6103179452
Enrollment ID: I20230112002039
Provider NameAdetoun Adebule
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1881035715
PECOS PAC ID: 2961771183
Enrollment ID: I20230224001256
Provider NameDeborah C Harris
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1447462403
PECOS PAC ID: 5799142030
Enrollment ID: I20230601001852
Provider NameAnna L Britt
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1457041451
PECOS PAC ID: 4486013133
Enrollment ID: I20230629000153
Provider NameBlessing C Aroh
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1710449574
PECOS PAC ID: 4880058387
Enrollment ID: I20230918001262
Provider NameValerie C Fuller
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1891018040
PECOS PAC ID: 1456643535
Enrollment ID: I20231206000299
Provider NamePatrick Smith
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1174121941
PECOS PAC ID: 2860842663
Enrollment ID: I20231220000202
Provider NameMatthew B Shelnutt
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1053831818
PECOS PAC ID: 3375812134
Enrollment ID: I20240109002262
Provider NameWallace P Coleman
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1669941035
PECOS PAC ID: 8628429081
Enrollment ID: I20240110001303
Provider NameJoan C Fryer
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1467624130
PECOS PAC ID: 3870945751
Enrollment ID: I20240116003106
Provider NameTanza P Sutton
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1376880674
PECOS PAC ID: 8224471081
Enrollment ID: I20240208001719
Provider NameTiffany L Radney
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1154183853
PECOS PAC ID: 9537505615
Enrollment ID: I20240312000518
Provider NameJacqueline L Gilkey-onuigbo
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1255404240
PECOS PAC ID: 4880694801
Enrollment ID: I20240320002831
Provider NameKaren B Howell
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1891473716
PECOS PAC ID: 0345689584
Enrollment ID: I20240419002413
Provider NameTameika L Williams
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1144955030
PECOS PAC ID: 0547601387
Enrollment ID: I20240510003266
Provider NameDeanna S Pettit
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770361206
PECOS PAC ID: 5496196057
Enrollment ID: I20240514001100

Reviews and Comments


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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.