Tristate Wellness & Medical Care Pa is a medicare enrolled primary clinic (Internal Medicine) in Wantage, New Jersey. The current practice location for Tristate Wellness & Medical Care Pa is 199 Route 284, Wantage, New Jersey. For appointments, you can reach them via phone at
(973) 875-7121. The mailing address for Tristate Wellness & Medical Care Pa is 199 Route 284, Wantage, New Jersey and phone number is (973) 875-7121.
Tristate Wellness & Medical Care Pa is licensed to practice in New Jersey (license number 25MA05330800). The clinic also participates in the medicare program and its
NPI number is 1952739476. 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
(973) 875-7121.
Primary Care Clinic Profile
| Full Name | Tristate Wellness & Medical Care Pa |
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| Speciality | Internal Medicine |
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| Location | 199 Route 284, Wantage, New Jersey |
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| Authorized Official Name and Position | Sami Yasin (PRESIDENT) |
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| Authorized Official Contact | 9738757121 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Tristate Wellness & Medical Care Pa
199 Route 284
Wantage
NJ 07461-3417
Ph: (973) 875-7121 | Tristate Wellness & Medical Care Pa
199 Route 284
Wantage
NJ 07461-3417
Ph: (973) 875-7121 |
NPI Details:
| NPI Number | 1952739476 |
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| Provider Enumeration Date | 10/18/2013 |
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| Last Update Date | 10/18/2013 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4789812819 |
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| Medicare Enrollment ID | O20140116000741 |
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Medical Identifiers
Medical identifiers for Tristate Wellness & Medical Care Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952739476 | NPI | - | NPPES |
| 01496762 | Medicaid | NY | |
| 342010801 | Medicaid | NJ | |
| 1054395 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 25MA05330800 (New Jersey) | Primary |
| 207R00000X | Internal Medicine | 197792-1 (New York) | Secondary |
| 207R00000X | Internal Medicine | 4301087529 (Michigan) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | 25MA05330800 (New Jersey) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | 197792-1 (New York) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | 4301087529 (Michigan) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Tristate Wellness & Medical Care Pa acts as a billing entity for following providers:
| Provider Name | Sami F Yasin |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1316007651
PECOS PAC ID: 1355367400
Enrollment ID: I20051019000068 |
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