Peach Tree Healthcare is a medicare enrolled "Clinic/center - Federally Qualified Health Center (fqhc)" provider in Marysville, California. Their current practice location is
5730 Packard Ave, Suite 500, Marysville, 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 550000005) 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 1003863622.
Healthcare Provider's Profile
| Full Name | Peach Tree Healthcare |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
|---|
| Location | 5730 Packard Ave, Marysville, 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: 1003863622
- Provider Enumeration Date: 05/28/2006
- Last Update Date: 05/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 7416978440
- Enrollment ID: O20061011000714
Medical Identifiers
Medical identifiers for Peach Tree Healthcare such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003863622 | NPI | - | NPPES |
| FHC11619G | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | E1137 (California) | Secondary |
| 363A00000X | Physician Assistant | PA14393 (California) | Secondary |
| 363L00000X | Nurse Practitioner | 18608 (California) | Secondary |
| 207V00000X | Obstetrics & Gynecology | A93985 (California) | Secondary |
| 207W00000X | Ophthalmology | A104819 (California) | Secondary |
| 208000000X | Pediatrics | A60310 (California) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G42749 (California) | Secondary |
| 208D00000X | General Practice | 2OA5572 (California) | Secondary |
| 103T00000X | Psychologist | PSY10876 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCS12778 (California) | Secondary |
| 152W00000X | Optometrist | 14503TLG (California) | Secondary |
| 171100000X | Acupuncturist | A66235 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | A368140 (California) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550000005 (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
5730 Packard Ave, Suite 500,
Marysville, CA 95901-7118
Ph: (530) 749-3242 |
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