<unavail> in Anaconda, MT - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Anaconda, Montana. The current practice location for is 602 E Park Ave, Anaconda, Montana. For appointments, you can reach them via phone at (406) 384-7630. The mailing address for is 5500 Maryland Way Ste 120, Brentwood, Tennessee and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1093397978. 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) 384-7630.

Contact Information


	602 E Park Ave Anaconda MT 59711-2469
	(406) 384-7630
	(406) 384-7374

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	602 E Park Ave, Anaconda, Montana
Authorized Official Name and Position	Jonathan Leizman (PRESIDENT)
Authorized Official Contact	2164799063
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () -	602 E Park Ave Anaconda MT 59711-2469 Ph: (406) 384-7630

NPI Details:

NPI Number	1093397978
Provider Enumeration Date	04/21/2021
Last Update Date	10/14/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	7214460559
Medicare Enrollment ID	O20241025000442

Medical Identifiers

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

Identifier	Type	State	Issuer
1093397978	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QM1300X	Clinic/center - Multi-specialty	(* (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. acts as a billing entity for following providers:

Provider Name	Tracey Richardson
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1902099716 PECOS PAC ID: 3870649932 Enrollment ID: I20241104003440

Reviews and Comments

Clinic/Center in Anaconda, MT

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Oak St, Anaconda, MT 59711 Phone: 406-563-0771 Fax: 406-563-0774
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 W Pennsylvania Ave, Anaconda, MT 59711 Phone: 406-563-8528 Fax: 406-563-8694
Northwest Ehr Collaborative Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 606 E Park Ave, Anaconda, MT 59711 Phone: 406-563-7962 Fax: 406-563-7180
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 W Pennsylvania, Anaconda, MT 59711 Phone: 406-563-8667 Fax: 406-563-8665
Western Montana Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 W Pennsylvania St, Anaconda, MT 59711 Phone: 406-721-5600
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1102 E Commercial Ave, Anaconda, MT 59711 Phone: 406-563-7282 Fax: 406-563-7243

- Medicare Primary Care in Anaconda, MT