Round Valley Indian Health Center, Inc. - Medicare Primary Care in Covelo, CA

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Round Valley Indian Health Center, Inc. is a medicare enrolled primary clinic (Clinic/center) in Covelo, California. The current practice location for Round Valley Indian Health Center, Inc. is 24065 Biggar Lane, Covelo, California. For appointments, you can reach them via phone at (707) 983-6404. The mailing address for Round Valley Indian Health Center, Inc. is Po Box 247, Covelo, California and phone number is (707) 983-6404.

Round Valley Indian Health Center, Inc. is licensed to practice in California (license number 110000097). The clinic also participates in the medicare program and its NPI number is 1669532750. 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) 983-6404.

Contact Information

Round Valley Indian Health Center, Inc.
24065 Biggar Lane
Covelo
CA 95428-0247
(707) 983-6404
(707) 983-6184

Map and Direction


Primary Care Clinic Profile

Full NameRound Valley Indian Health Center, Inc.
SpecialityClinic/Center
Location24065 Biggar Lane, Covelo, California
Authorized Official Name and PositionOtis D Brotherton (EXECUTIVE DIRECTOR)
Authorized Official Contact7079836181
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Round Valley Indian Health Center, Inc.
Po Box 247
Covelo
CA 95428-0247

Ph: (707) 983-6404		Round Valley Indian Health Center, Inc.
24065 Biggar Lane
Covelo
CA 95428-0247

Ph: (707) 983-6404

NPI Details:

NPI Number1669532750
Provider Enumeration Date12/11/2006
Last Update Date03/14/2024

Medicare PECOS Information:

Medicare PECOS PAC ID9234128927
Medicare Enrollment IDO20040507001316

Medical Identifiers

Medical identifiers for Round Valley Indian Health Center, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669532750NPI-NPPES
THP11697FMedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 110000097 (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. Round Valley Indian Health Center, Inc. acts as a billing entity for following providers:
Provider NameSteven Philip Johannsen
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1518041912
PECOS PAC ID: 6305805292
Enrollment ID: I20041006001089
Provider NameLaurence R Alavezos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306067327
PECOS PAC ID: 6204862790
Enrollment ID: I20050715000669
Provider NameMarvin G Trotter
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720027436
PECOS PAC ID: 8123105608
Enrollment ID: I20080408000613
Provider NameCheri L Heffel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508833153
PECOS PAC ID: 7719014414
Enrollment ID: I20100429000486
Provider NameJames Shubin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295723518
PECOS PAC ID: 0345370029
Enrollment ID: I20100607000102
Provider NameKevin J Mack
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1760416903
PECOS PAC ID: 2769674233
Enrollment ID: I20101004000418
Provider NameJames F Dietz
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1770685299
PECOS PAC ID: 6507052867
Enrollment ID: I20101129000465
Provider NameMarilyn S Magoffin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659562742
PECOS PAC ID: 8123280385
Enrollment ID: I20120504000039
Provider NameSamuel Martisius
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1043440308
PECOS PAC ID: 1052559762
Enrollment ID: I20130607000091
Provider NameAndrea S Richmond
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639334840
PECOS PAC ID: 8628107646
Enrollment ID: I20131106000239
Provider NameSnehal J Raisoni
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1487973798
PECOS PAC ID: 8820387533
Enrollment ID: I20160519001836
Provider NameEmily J Bruton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750749495
PECOS PAC ID: 4587959077
Enrollment ID: I20160823001783
Provider NameLuis G Maduro
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1881813079
PECOS PAC ID: 0042504151
Enrollment ID: I20170522001241
Provider NameDavid Applegate
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629196571
PECOS PAC ID: 4981775905
Enrollment ID: I20221109000680
Provider NameShardale Mcafee
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891226346
PECOS PAC ID: 5395091193
Enrollment ID: I20230518001317
Provider NameRockzine Ngwa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609305432
PECOS PAC ID: 8729346960
Enrollment ID: I20240513001838

Reviews and Comments


Clinic/Center in Covelo, 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.