- Medicare Primary Care in Sully, IA

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is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Sully, Iowa. The current practice location for is 704 3rd St, Sully, Iowa. For appointments, you can reach them via phone at (641) 594-3150. The mailing address for is P.o. Box 327, 704 3rd Street,, Sully, Iowa and phone number is (641) 594-3150.

is licensed to practice in Iowa (license number 630165H). The clinic also participates in the medicare program and its NPI number is 1104860808. 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 (641) 594-3150.

Contact Information

704 3rd St
Sully
IA 50251-1016
(641) 594-3150
(641) 594-3795

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location704 3rd St, Sully, Iowa
Authorized Official Name and PositionRobert D Kroese (CEO)
Authorized Official Contact6416286604
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

P.o. Box 327
704 3rd Street,
Sully
IA 50251

Ph: (641) 594-3150
704 3rd St
Sully
IA 50251-1016

Ph: (641) 594-3150

NPI Details:

NPI Number1104860808
Provider Enumeration Date06/15/2006
Last Update Date12/06/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9931005873
Medicare Enrollment IDO20050127000760

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104860808NPI-NPPES
0634550MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health 630165H (Iowa)Primary

Reviews and Comments


Clinic/Center in Sully, IA


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.