- Medicare Primary Care in Kelleys Island, OH

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Kelleys Island, Ohio. The current practice location for is 117 Addison Street, Kelleys Island, Ohio. For appointments, you can reach them via phone at (419) 626-5623. The mailing address for is 420 Superior St, Sandusky, Ohio and phone number is (419) 626-5623.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1598331951. 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 (419) 626-5623.

Contact Information

117 Addison Street
Kelleys Island
OH 43438-6500
(419) 626-5623
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location117 Addison Street, Kelleys Island, Ohio
Authorized Official Name and PositionJoseph Palmucci (CEO/CFO)
Authorized Official Contact4196265623
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

420 Superior St
Sandusky
OH 44870-1849

Ph: (419) 626-5623
117 Addison Street
Kelleys Island
OH 43438-6500

Ph: (419) 626-5623

NPI Details:

NPI Number1598331951
Provider Enumeration Date05/27/2021
Last Update Date03/16/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7911050711
Medicare Enrollment IDO20220804003580

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598331951NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Reviews and Comments


Clinic/Center in Kelleys Island, OH


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.