<unavail> in Richmond, IN - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Richmond, Indiana. The current practice location for is 203 E Main St, Richmond, Indiana. For appointments, you can reach them via phone at (765) 973-9294. The mailing address for is 203 E Main St, Richmond, Indiana and phone number is (765) 973-9294.

is licensed to practice in Indiana (license number ). The clinic also participates in the medicare program and its NPI number is 1366518102. 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 (765) 973-9294.

Contact Information


	203 E Main St Richmond IN 47374-4208
	(765) 973-9294
	(765) 973-9233

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	203 E Main St, Richmond, Indiana
Authorized Official Name and Position	David M Keller (MD)
Authorized Official Contact	7659739294
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
203 E Main St Richmond IN 47374-4208 Ph: (765) 973-9294	203 E Main St Richmond IN 47374-4208 Ph: (765) 973-9294

NPI Details:

NPI Number	1366518102
Provider Enumeration Date	11/24/2006
Last Update Date	05/11/2016

Medicare PECOS Information:

Medicare PECOS PAC ID	0143239616
Medicare Enrollment ID	O20060411000425

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366518102	NPI	-	NPPES
200971700	Medicaid	IN
100257290	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(Indiana)	Primary
261QR1300X	Clinic/center - Rural Health	(Indiana)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	David Louis Jetmore
Provider Type	Practitioner - Otolaryngology
Provider Identifiers	NPI Number: 1215939467 PECOS PAC ID: 4082696026 Enrollment ID: I20101025001372

Reviews and Comments

Clinic/Center in Richmond, IN

Earlham College Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 National Rd W, Health Services, Richmond, IN 47374 Phone: 765-983-1328 Fax: 765-983-1488
Indiana Hospitalists, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Reid Parkway, Reid Hospital, Richmond, IN 47374 Phone: 765-983-3492 Fax: 678-441-8656
Wayne Family Health Care, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1050 Reid Parkway, Suite 210, Richmond, IN 47374 Phone: 765-966-5217 Fax: 765-966-5277
Richmond Family Care Center, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 795 Sim Hodgin Pkwy, Richmond, IN 47374 Phone: 765-966-5949 Fax: 765-962-6268
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4821 Old National Rd E, Suite A, Richmond, IN 47374 Phone: 765-373-3910 Fax: 800-569-1924
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 Reid Pkwy, Richmond, IN 47374 Phone: 765-983-3127 Fax: 765-983-3219
Pankaj Kumar, M.d.,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 N 15th St, Richmond, IN 47374 Phone: 765-966-8221 Fax: 765-962-9582

- Medicare Primary Care in Richmond, IN