- Medicare Primary Care in Lake Como, PA

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Lake Como, Pennsylvania. The current practice location for is 412 Como Road, Lake Como, Pennsylvania. For appointments, you can reach them via phone at (570) 798-2828. The mailing address for is 601 Park St, Honesdale, Pennsylvania and phone number is (570) 253-8226.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1669654596. 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 (570) 798-2828.

Contact Information

412 Como Road
Lake Como
PA 18437-0000
(570) 798-2828
(570) 798-2636

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location412 Como Road, Lake Como, Pennsylvania
Authorized Official Name and PositionFrederick Jackson (EXECUTIVE DIRECTOR)
Authorized Official Contact5702538450
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

601 Park St
Honesdale
PA 18431-1445

Ph: (570) 253-8226
412 Como Road
Lake Como
PA 18437-0000

Ph: (570) 798-2828

NPI Details:

NPI Number1669654596
Provider Enumeration Date12/03/2007
Last Update Date04/07/2015

Medicare PECOS Information:

Medicare PECOS PAC ID3072598937
Medicare Enrollment IDO20080417000660

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669654596NPI-NPPES
1007765560005MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OS011217 (Pennsylvania)Secondary
207R00000XInternal Medicine MD428487 (Pennsylvania)Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Reviews and Comments


Clinic/Center in Lake Como, PA


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.