Redwood Coast Medical Services, Inc. - Medicare Primary Care in Gualala, CA

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Redwood Coast Medical Services, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Gualala, California. The current practice location for Redwood Coast Medical Services, Inc. is 46900 Ocean Dr, Gualala, California. For appointments, you can reach them via phone at (707) 884-4005. The mailing address for Redwood Coast Medical Services, Inc. is Po Box 1100, Gualala, California and phone number is (707) 884-4005.

Redwood Coast Medical Services, Inc. is licensed to practice in California (license number 110000048). The clinic also participates in the medicare program and its NPI number is 1962530725. 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 (707) 884-4005.

Contact Information

Redwood Coast Medical Services, Inc.
46900 Ocean Dr
Gualala
CA 95445-8353
(707) 884-4005
(707) 884-9728

Map and Direction


Primary Care Clinic Profile

Full NameRedwood Coast Medical Services, Inc.
SpecialityClinic/Center
Location46900 Ocean Dr, Gualala, California
Authorized Official Name and PositionDiane Agee (CEO)
Authorized Official Contact7078849476
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Redwood Coast Medical Services, Inc.
Po Box 1100
Gualala
CA 95445-1100

Ph: (707) 884-4005		Redwood Coast Medical Services, Inc.
46900 Ocean Dr
Gualala
CA 95445-8353

Ph: (707) 884-4005

NPI Details:

NPI Number1962530725
Provider Enumeration Date03/01/2007
Last Update Date12/24/2013

Medicare PECOS Information:

Medicare PECOS PAC ID6901941905
Medicare Enrollment IDO20100302000446

Medical Identifiers

Medical identifiers for Redwood Coast Medical Services, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962530725NPI-NPPES
FHC03906FMedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 110000048 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Redwood Coast Medical Services, Inc. acts as a billing entity for following providers:
Provider NameMark P Kal
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316937931
PECOS PAC ID: 2668487182
Enrollment ID: I20060220000403
Provider NameSona A Weber
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932320850
PECOS PAC ID: 1658424957
Enrollment ID: I20090804000675
Provider NameThomas A Bertolli
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811089717
PECOS PAC ID: 4385799568
Enrollment ID: I20090911000627
Provider NamePeter Dennis Arellano
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295814325
PECOS PAC ID: 0648467456
Enrollment ID: I20101206001022
Provider NameKatherine Willems
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134393069
PECOS PAC ID: 4486895042
Enrollment ID: I20130724000106
Provider NameLois R Falk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346332335
PECOS PAC ID: 7618192204
Enrollment ID: I20140716000775
Provider NameAndrew Steiger
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1376639740
PECOS PAC ID: 2668469735
Enrollment ID: I20161201000841
Provider NameAfsoon Foorohar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962897645
PECOS PAC ID: 3274871298
Enrollment ID: I20190215002079
Provider NameClement B Binnings
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760457162
PECOS PAC ID: 6103986401
Enrollment ID: I20190328001534
Provider NameShaye Larie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013478569
PECOS PAC ID: 6608102009
Enrollment ID: I20200504000804
Provider NameHolly R Hamm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285416123
PECOS PAC ID: 5799138871
Enrollment ID: I20240124004109

Reviews and Comments


Clinic/Center in Gualala, CA


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.