| The Wecare Group, Inc. | |
|
321 Van Duzen Road Mad River CA 95552-0004 | |
| (707) 574-6616 | |
| (707) 574-6523 |
| Full Name | The Wecare Group, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 321 Van Duzen Road, Mad River, California |
| Authorized Official Name and Position | Graylan Lupton (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7075746616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wecare Group, Inc. Po Box 7 Scotia CA 95565-0007 Ph: (707) 764-5617 | The Wecare Group, Inc. 321 Van Duzen Road Mad River CA 95552-0004 Ph: (707) 574-6616 |
| NPI Number | 1174693493 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 01/26/2024 |
| Medicare PECOS PAC ID | 7719929082 |
|---|---|
| Medicare Enrollment ID | O20050616000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174693493 | NPI | - | NPPES |
| RHM70040F | Medicaid | CA | |
| FHC70040F | Medicaid | CA |
| Provider Name | Fred W Wakil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710931464 PECOS PAC ID: 7416969456 Enrollment ID: I20060612000332 |
| Provider Name | Peter Joel Heck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629520507 PECOS PAC ID: 2860769635 Enrollment ID: I20191010001058 |
Southern Trinity Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 153-a Van Duzen Rd, Mad River, CA 95552 Phone: 707-574-6616 Fax: 707-574-6523 | |
Southern Trinity Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 153-a Van Duzen Rd, Mad River, CA 95552 Phone: 707-574-6616 Fax: 707-574-6523 |