Angels Camp Family Medical Center - Medicare Primary Care in Angels Camp, CA

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Angels Camp Family Medical Center is a medicare enrolled primary clinic (Family Medicine) in Angels Camp, California. The current practice location for Angels Camp Family Medical Center is 445 South Main St, Angels Camp, California. For appointments, you can reach them via phone at (209) 736-0249. The mailing address for Angels Camp Family Medical Center is 14542 Lolly Ln, Sonora, California and phone number is (209) 536-2760.

Angels Camp Family Medical Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1821089749. 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 (209) 736-0249.

Contact Information

Angels Camp Family Medical Center
445 South Main St
Angels Camp
CA 95222
(209) 736-0249
(209) 533-7696

Map and Direction


Primary Care Clinic Profile

Full NameAngels Camp Family Medical Center
SpecialityFamily Medicine
Location445 South Main St, Angels Camp, California
Authorized Official Name and PositionAndrew D. Jahn (VICE PRESIDENT FOR FINANCE)
Authorized Official Contact2095365011
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Angels Camp Family Medical Center
14542 Lolly Ln
Sonora
CA 95370-9226

Ph: (209) 536-2760		Angels Camp Family Medical Center
445 South Main St
Angels Camp
CA 95222

Ph: (209) 736-0249

NPI Details:

NPI Number1821089749
Provider Enumeration Date10/31/2005
Last Update Date03/29/2013

Medicare PECOS Information:

Medicare PECOS PAC ID4284538505
Medicare Enrollment IDO20050411001282

Medical Identifiers

Medical identifiers for Angels Camp Family Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821089749NPI-NPPES
ZZZ52950ZOtherCABLUE CROSS/BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (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. Angels Camp Family Medical Center acts as a billing entity for following providers:
Provider NameDonald K Westbie
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912984436
PECOS PAC ID: 7416940135
Enrollment ID: I20040407000516
Provider NameDean M Kelaita
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750310496
PECOS PAC ID: 5092791541
Enrollment ID: I20040625000955
Provider NamePeter F Oliver
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1609812965
PECOS PAC ID: 9032194915
Enrollment ID: I20040625001103
Provider NameSandra J Shetzline
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033227715
PECOS PAC ID: 3971554270
Enrollment ID: I20050203000614
Provider NameRajiv Maraj
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1730193079
PECOS PAC ID: 9638175680
Enrollment ID: I20061013000373
Provider NameEric Hemminger
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1104027085
PECOS PAC ID: 3678659992
Enrollment ID: I20080327000326
Provider NameAyman A Hosny
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1265414155
PECOS PAC ID: 3870675671
Enrollment ID: I20080521000408
Provider NameBrian J Carlson
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1740255462
PECOS PAC ID: 8729157169
Enrollment ID: I20080527000384
Provider NameEverardo Lopez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851379572
PECOS PAC ID: 2769544469
Enrollment ID: I20081215000050
Provider NameRenee H Kramer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558584466
PECOS PAC ID: 9032393301
Enrollment ID: I20110411000675
Provider NameMorgan L Fitzpatrick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134479512
PECOS PAC ID: 4183850290
Enrollment ID: I20131120000737
Provider NameRodney Eddi
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1598972838
PECOS PAC ID: 9638229347
Enrollment ID: I20140206000107
Provider NameAmy R Buckowski
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1114292976
PECOS PAC ID: 5092078634
Enrollment ID: I20181212000598
Provider NameKelsey A Belcourt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467925594
PECOS PAC ID: 2163755943
Enrollment ID: I20190611000008

Reviews and Comments


Family Medicine in Angels Camp, CA

Yin Yang Medical Spa, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1270 Suzanne Dr Ste A, Angels Camp, CA 95222
Phone: 209-736-0100    Fax: 209-736-0128
Family Medical Center - Angels Camp
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 590 Stanislaus Avenue, Angels Camp, CA 95222
Phone: 209-736-0813    Fax: 209-736-9088

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.