<unavail> in Missoula, MT - Medicare General Practice

is a medicare enrolled primary clinic (General Practice) in Missoula, Montana. The current practice location for is 1900 S Reserve St, Missoula, Montana. For appointments, you can reach them via phone at (406) 543-4408. The mailing address for is 1900 S Reserve St, Missoula, Montana and phone number is (406) 543-4408.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1710503099. 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 (406) 543-4408.

Contact Information


	1900 S Reserve St Missoula MT 59801-6455
	(406) 543-4408
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	General Practice
Location	1900 S Reserve St, Missoula, Montana
Authorized Official Name and Position	Lee Johnson (TREASURER)
Authorized Official Contact	2084011369
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1900 S Reserve St Missoula MT 59801-6455 Ph: (406) 543-4408	1900 S Reserve St Missoula MT 59801-6455 Ph: (406) 543-4408

NPI Details:

NPI Number	1710503099
Provider Enumeration Date	06/22/2020
Last Update Date	01/06/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	0244654135
Medicare Enrollment ID	O20200724001625

Medical Identifiers

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

Identifier	Type	State	Issuer
1710503099	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	(* (Not Available))	Primary
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Secondary
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363L00000X	Nurse Practitioner	(* (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. acts as a billing entity for following providers:

Provider Name	Kelsey Lau Elkins
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1891203790 PECOS PAC ID: 8224399308 Enrollment ID: I20180306002284

Provider Name	Penny Palm Bucher
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1407519366 PECOS PAC ID: 2365834777 Enrollment ID: I20220114002128

Reviews and Comments

General Practice in Missoula, MT

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Partnership Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2200 Mullan Rd Ste A, Missoula, MT 59808 Phone: 406-258-4949 Fax: 406-258-4732
Sentinel Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6995 Linda Vista Blvd Ste 120, Missoula, MT 59803 Phone: 406-272-6151
Biome Group Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2831 Fort Missoula Rd. Bldg. 2, Ste. 203, Missoula, MT 59804 Phone: 480-628-3002
Western Montana Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2835 Fort Missoula Rd Bldg 3, Missoula, MT 59804 Phone: 406-721-5600
Greater Good Health Pc, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2230 N Reserve St Ste 110, Missoula, MT 59808 Phone: 310-658-3775
Next02 Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2831 Fort Missoula Rd Ste 232, Missoula, MT 59804 Phone: 406-404-8588

- Medicare Primary Care in Missoula, MT