| Pacific Medcare Center | |
|
319 N 1st St Pacific MO 63069-1505 | |
| (636) 271-3500 | |
| (636) 271-9955 |
| Full Name | Pacific Medcare Center |
|---|---|
| Speciality | Family Medicine |
| Location | 319 N 1st St, Pacific, Missouri |
| Authorized Official Name and Position | Teodoro C. Vargas (PRESIDENT) |
| Authorized Official Contact | 6362713500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Medcare Center 319 N 1st St Pacific MO 63069-1505 Ph: (636) 271-3500 | Pacific Medcare Center 319 N 1st St Pacific MO 63069-1505 Ph: (636) 271-3500 |
| NPI Number | 1891962072 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 02/19/2020 |
| Medicare PECOS PAC ID | 3577621002 |
|---|---|
| Medicare Enrollment ID | O20081027000864 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891962072 | NPI | - | NPPES |
| K92006 | Other | MO | EXCLUSIVE CHOICE |
| 101254 | Other | MO | HEALTHLINK |
| 18297 | Other | MO | ANTHEM |
| 5523 | Other | MO | GROUP HEALTH PLAN |
| 100922001 | Other | MO | UNITED HEALTH CARE |
| 200864908 | Medicaid | MO | |
| 2052 | Other | MO | HEALTHCARE USA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34914 (Missouri) | Primary |
| Provider Name | Teodoro C Vargas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427015726 PECOS PAC ID: 6305904830 Enrollment ID: I20081027000857 |
Your Optimal Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 409 W Osage St, Pacific, MO 63069 Phone: 636-200-8555 Fax: 636-200-8560 | |
Patients First Health Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 Noonan Dr, Pacific, MO 63069 Phone: 636-271-9700 Fax: 636-257-6016 |