Tareq A Ali Md Apc in Lodi, CA - Medicare Family Medicine

Tareq A Ali Md Apc is a medicare enrolled primary clinic (Family Medicine) in Lodi, California. The current practice location for Tareq A Ali Md Apc is 1520 W Kettleman Ln Ste B, Lodi, California. For appointments, you can reach them via phone at (209) 339-3797. The mailing address for Tareq A Ali Md Apc is 1520 W Kettleman Ln Ste B, Lodi, California and phone number is (209) 339-3797.

Tareq A Ali Md Apc is licensed to practice in California (license number A51048). The clinic also participates in the medicare program and its NPI number is 1588919716. 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 (209) 339-3797.

Contact Information

	Tareq A Ali Md Apc
	1520 W Kettleman Ln Ste B Lodi CA 95242-9290
	(209) 339-3797
	(209) 339-3795

Map and Direction

Primary Care Clinic Profile

Full Name	Tareq A Ali Md Apc
Speciality	Family Medicine
Location	1520 W Kettleman Ln Ste B, Lodi, California
Authorized Official Name and Position	Tareq A Ali (PRESIDENT OF CORPORATION)
Authorized Official Contact	20933393797
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tareq A Ali Md Apc 1520 W Kettleman Ln Ste B Lodi CA 95242-9290 Ph: (209) 339-3797	Tareq A Ali Md Apc 1520 W Kettleman Ln Ste B Lodi CA 95242-9290 Ph: (209) 339-3797

NPI Details:

NPI Number	1588919716
Provider Enumeration Date	07/13/2012
Last Update Date	07/13/2012

Medicare PECOS Information:

Medicare PECOS PAC ID	1658520689
Medicare Enrollment ID	O20121005000426

Medical Identifiers

Medical identifiers for Tareq A Ali Md Apc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588919716	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A51048 (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. Tareq A Ali Md Apc acts as a billing entity for following providers:

Provider Name	Tareq A Ali
Provider Type	Practitioner - Emergency Medicine
Provider Identifiers	NPI Number: 1790722718 PECOS PAC ID: 5991771172 Enrollment ID: I20040908001567

Provider Name	Ryan E Vaccarezza
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1982037040 PECOS PAC ID: 8224266440 Enrollment ID: I20140116000011

Reviews and Comments

Family Medicine in Lodi, CA

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2407 W Vine St, Suite A, Lodi, CA 95242 Phone: 209-334-3411 Fax: 209-339-7659
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 W Lodi Ave, Ste P, Lodi, CA 95242 Phone: 209-366-1990
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 999 S Fairmont Ave, Suite 135, Lodi, CA 95240 Phone: 209-224-5719 Fax: 209-691-9521
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2415 W Vine St Ste 105, Lodi, CA 95242 Phone: 209-333-3121
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 999 S Fairmont Ave, #130/135, Lodi, CA 95240 Phone: 209-366-2001
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 W Vine St Ste 20, Lodi, CA 95240 Phone: 209-339-7625 Fax: 209-339-7659
Inpatient Services Of California, Inc., A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 975 S. Fairmont Ave, Lodi, CA 95240 Phone: 214-712-2400

Tareq A Ali Md Apc - Medicare Primary Care in Lodi, CA