Family First Care Clinic, Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Eagle, Wisconsin. The current practice location for Family First Care Clinic, Llc is 108 Grove St, Eagle, Wisconsin. For appointments, you can reach them via phone at
(262) 594-7012. The mailing address for Family First Care Clinic, Llc is 2125 Penhurst Way, Waukesha, Wisconsin and phone number is (262) 594-7012.
Family First Care Clinic, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1033701115. 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
(262) 594-7012.
Primary Care Clinic Profile
| Full Name | Family First Care Clinic, Llc |
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| Speciality | Clinic/Center |
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| Location | 108 Grove St, Eagle, Wisconsin |
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| Authorized Official Name and Position | Jessica L Olson (OWNER) |
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| Authorized Official Contact | 2622716280 |
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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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Family First Care Clinic, Llc
2125 Penhurst Way
Waukesha
WI 53186-1224
Ph: (262) 594-7012 | Family First Care Clinic, Llc
108 Grove St
Eagle
WI 53119-2249
Ph: (262) 594-7012 |
NPI Details:
| NPI Number | 1033701115 |
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| Provider Enumeration Date | 02/09/2021 |
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| Last Update Date | 11/12/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 9335557222 |
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| Medicare Enrollment ID | O20210413002846 |
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Medical Identifiers
Medical identifiers for Family First Care Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033701115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QP2300X | Clinic/center - Primary Care | (* (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.
Family First Care Clinic, Llc acts as a billing entity for following providers:
| Provider Name | Jessica Lynn Olson |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1346764180
PECOS PAC ID: 8820355787
Enrollment ID: I20171130001726 |
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