Peach Tree Healthcare is a medicare enrolled "Clinic/center - Federally Qualified Health Center (fqhc)" provider in Live Oak, California. Their current practice location is
9980 Live Oak Blvd, Live Oak, California. You can reach out to their office (for appointments etc.) via phone at
(530) 749-3242.
Peach Tree Healthcare is licensed to practice in California (license number 550000248) and it also participates in the medicare program. Peach Tree Healthcare
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1316096894.
Healthcare Provider's Profile
| Full Name | Peach Tree Healthcare |
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| Type | Facility |
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| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
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| Location | 9980 Live Oak Blvd, Live Oak, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316096894
- Provider Enumeration Date: 01/10/2007
- Last Update Date: 05/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 7416978440
- Enrollment ID: O20051219000014
Medical Identifiers
Medical identifiers for Peach Tree Healthcare such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316096894 | NPI | - | NPPES |
| FHC71147F | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 14503TLG (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | C51576 (California) | Secondary |
| 207V00000X | Obstetrics & Gynecology | A93985 (California) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550000248 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peach Tree Healthcare is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Peach Tree Healthcare
1114 Yuba St Ste 220,
Marysville, CA 95901-4838
Ph: (530) 749-3242 | Peach Tree Healthcare
9980 Live Oak Blvd,
Live Oak, CA 95953-2334
Ph: (530) 749-3242 |
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