Mathiesen Memorial Health Clinic - Medicare Primary Care in Jamestown, CA

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Mathiesen Memorial Health Clinic is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Jamestown, California. The current practice location for Mathiesen Memorial Health Clinic is 18144 Seco St, Jamestown, California. For appointments, you can reach them via phone at (209) 984-4820. The mailing address for Mathiesen Memorial Health Clinic is Po Box 535, Jamestown, California and phone number is (209) 984-4820.

Mathiesen Memorial Health Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1255595484. 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 (209) 984-4820.

Contact Information

Mathiesen Memorial Health Clinic
18144 Seco St
Jamestown
CA 95327-9737
(209) 984-4820
(209) 984-4825

Map and Direction


Primary Care Clinic Profile

Full NameMathiesen Memorial Health Clinic
SpecialityClinic/Center
Location18144 Seco St, Jamestown, California
Authorized Official Name and PositionJacqueline Kiss (CREDENTIALING)
Authorized Official Contact2547600228
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mathiesen Memorial Health Clinic
Po Box 535
Jamestown
CA 95327-0535

Ph: (209) 984-4820		Mathiesen Memorial Health Clinic
18144 Seco St
Jamestown
CA 95327-9737

Ph: (209) 984-4820

NPI Details:

NPI Number1255595484
Provider Enumeration Date07/16/2008
Last Update Date07/25/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1759429814
Medicare Enrollment IDO20091110000350

Medical Identifiers

Medical identifiers for Mathiesen Memorial Health Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255595484NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (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. Mathiesen Memorial Health Clinic acts as a billing entity for following providers:
Provider NameHope H Ewing
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700863081
PECOS PAC ID: 1850289406
Enrollment ID: I20091112000456
Provider NameGina M Valente Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336337484
PECOS PAC ID: 2163587288
Enrollment ID: I20120321000846
Provider NameMelissa Ann Ronneburg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578961736
PECOS PAC ID: 6406897347
Enrollment ID: I20150320001737
Provider NameSara M Maya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669613378
PECOS PAC ID: 7517106958
Enrollment ID: I20150603000111
Provider NameHaku Kevin Kahoano
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1073714937
PECOS PAC ID: 8426362906
Enrollment ID: I20150728004315
Provider NameJennifer L Hemminger
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639200272
PECOS PAC ID: 5092013359
Enrollment ID: I20160420000273
Provider NameDolora A Dossi
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1508267824
PECOS PAC ID: 4688933716
Enrollment ID: I20180118001983
Provider NameRalph Retherford
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801043799
PECOS PAC ID: 5496820862
Enrollment ID: I20180604001256
Provider NameWeiya D Lu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952856502
PECOS PAC ID: 7810258050
Enrollment ID: I20190924002938
Provider NameKimberly D Freeman
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1801830070
PECOS PAC ID: 2961470513
Enrollment ID: I20191210001635
Provider NameKatrina Britton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649646803
PECOS PAC ID: 3779875000
Enrollment ID: I20200205000176
Provider NameKara B Sigler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548813017
PECOS PAC ID: 2567872336
Enrollment ID: I20201105001813
Provider NameThomas King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497005268
PECOS PAC ID: 8123316403
Enrollment ID: I20201106000062
Provider NameCassandra Mahan-richards
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1093767782
PECOS PAC ID: 3870487606
Enrollment ID: I20210112000106
Provider NameTheresa Sales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386153625
PECOS PAC ID: 7113286931
Enrollment ID: I20230811000597
Provider NameNathaniel Methot
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225422140
PECOS PAC ID: 6103121983
Enrollment ID: I20230816000128

Reviews and Comments


Clinic/Center in Jamestown, CA

Mathiesen Memorial Health Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 18144 Seco St, Jamestown, CA 95327
Phone: 209-984-4820    Fax: 209-984-4825

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.