Tri-state Community Health Center, Inc - Medicare Primary Care in Hancock, MD

Tri-state Community Health Center, Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Hancock, Maryland. The current practice location for Tri-state Community Health Center, Inc is 130 W High St, Hancock, Maryland. For appointments, you can reach them via phone at (301) 678-5187. The mailing address for Tri-state Community Health Center, Inc is 109 Rayloc Dr, Hancock, Maryland and phone number is (301) 678-5187.

Tri-state Community Health Center, Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1366491201. 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 (301) 678-5187.

Contact Information

Tri-state Community Health Center, Inc
130 W High St
Hancock
MD 21750-1143
(301) 678-5187
(301) 678-5797

Map and Direction


Primary Care Clinic Profile

Full NameTri-state Community Health Center, Inc
SpecialityClinic/Center
Location130 W High St, Hancock, Maryland
Authorized Official Name and PositionSheila J Deshong (EXECUTIVE DIRECTOR)
Authorized Official Contact3016787256
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tri-state Community Health Center, Inc
109 Rayloc Dr
Hancock
MD 21750-1518

Ph: (301) 678-5187
Tri-state Community Health Center, Inc
130 W High St
Hancock
MD 21750-1143

Ph: (301) 678-5187

NPI Details:

NPI Number1366491201
Provider Enumeration Date05/09/2006
Last Update Date08/03/2010

Medicare PECOS Information:

Medicare PECOS PAC ID9335057355
Medicare Enrollment IDO20040219000462

Medical Identifiers

Medical identifiers for Tri-state Community Health Center, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366491201NPI-NPPES
0035061000MedicaidWV
1723320/01MedicaidPA
482501200MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Tri-state Community Health Center, Inc acts as a billing entity for following providers:
Provider NameJorge R Andrade
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1619973914
PECOS PAC ID: 3274523253
Enrollment ID: I20040512001615
Provider NameSurendranath P Ekanayake
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1831175173
PECOS PAC ID: 6709869019
Enrollment ID: I20040609000184
Provider NameRaymond Ernst Banfer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093714057
PECOS PAC ID: 7113993478
Enrollment ID: I20040908000655
Provider NameCorrine L Lamm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407894363
PECOS PAC ID: 5799748679
Enrollment ID: I20041111000216
Provider NameTerry E Harvey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225079098
PECOS PAC ID: 0941206536
Enrollment ID: I20061004000232
Provider NameMichele Nmi Kennedy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275600504
PECOS PAC ID: 1153424585
Enrollment ID: I20070305000765
Provider NameJeannette Lois Sweitzer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053306647
PECOS PAC ID: 4880889054
Enrollment ID: I20101112001037
Provider NameLatasha A Rabsatt
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1831351899
PECOS PAC ID: 8729233432
Enrollment ID: I20130304000271
Provider NameLiza Dawn Hiles
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518296615
PECOS PAC ID: 0244476794
Enrollment ID: I20130429000491
Provider NameStephanie Nicole Jarvis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841567856
PECOS PAC ID: 9335314541
Enrollment ID: I20140422000864
Provider NameJennifer Eckenrode Fitzsimmons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730517111
PECOS PAC ID: 3577796747
Enrollment ID: I20140424000982
Provider NameDoris Faye Burkey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144464900
PECOS PAC ID: 8123160645
Enrollment ID: I20141111000373
Provider NameJanell L. Sioma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598135659
PECOS PAC ID: 8921318254
Enrollment ID: I20151117000364
Provider NameMeghan L Clayton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861865750
PECOS PAC ID: 8224339791
Enrollment ID: I20151229001412
Provider NameJames Doyle Helsley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609904432
PECOS PAC ID: 5496930323
Enrollment ID: I20160426000839
Provider NameJeffrey Craig Mazique
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902905300
PECOS PAC ID: 5193893279
Enrollment ID: I20190802000779
Provider NameSharmila K Matippa
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710198494
PECOS PAC ID: 8921141656
Enrollment ID: I20190822001293
Provider NameRebecca Wiles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750930293
PECOS PAC ID: 3173957172
Enrollment ID: I20191230000166
Provider NameChelsea Leigh Shoaf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639654544
PECOS PAC ID: 0648606079
Enrollment ID: I20200204000689
Provider NameTerri Leann Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518067156
PECOS PAC ID: 3375798598
Enrollment ID: I20200316000042
Provider NameDanielle Ayers Henchey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841625654
PECOS PAC ID: 9638457856
Enrollment ID: I20200316000268
Provider NameHannah Mackenzie Metz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720601313
PECOS PAC ID: 7719307784
Enrollment ID: I20201013000203
Provider NameStephanie Lee Imler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881338739
PECOS PAC ID: 6103296439
Enrollment ID: I20230103001979

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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.