M A C T Health Board Incorporated - Medicare Primary Care in San Andreas, CA

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M A C T Health Board Incorporated is a medicare enrolled primary clinic (Clinic/center) in San Andreas, California. The current practice location for M A C T Health Board Incorporated is 1113 Highway 49, San Andreas, California. For appointments, you can reach them via phone at (209) 754-6262. The mailing address for M A C T Health Board Incorporated is Po Box 939, Angels Camp, California and phone number is (209) 754-6262.

M A C T Health Board Incorporated is licensed to practice in California (license number 550000678). The clinic also participates in the medicare program and its NPI number is 1366519431. 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) 754-6262.

Contact Information

M A C T Health Board Incorporated
1113 Highway 49
San Andreas
CA 95249
(209) 754-6262
(209) 674-6211

Map and Direction


Primary Care Clinic Profile

Full NameM A C T Health Board Incorporated
SpecialityClinic/Center
Location1113 Highway 49, San Andreas, California
Authorized Official Name and PositionJohn Alexander (EXECUTIVE DIRECTOR)
Authorized Official Contact2097546262
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
M A C T Health Board Incorporated
Po Box 939
Angels Camp
CA 95222-0939

Ph: (209) 754-6262		M A C T Health Board Incorporated
1113 Highway 49
San Andreas
CA 95249

Ph: (209) 754-6262

NPI Details:

NPI Number1366519431
Provider Enumeration Date11/30/2006
Last Update Date07/26/2022

Medicare PECOS Information:

Medicare PECOS PAC ID8325936974
Medicare Enrollment IDO20040305001143

Medical Identifiers

Medical identifiers for M A C T Health Board Incorporated such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366519431NPI-NPPES
THP70732FMedicaidCA
THP70871FMedicaidCA
THP70018FMedicaidCA
THP70875FMedicaidCA
THP70776FMedicaidCA
GR0090620MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 030000438 (California)Secondary
261Q00000XClinic/center 550000678 (California)Primary
261Q00000XClinic/center 030000704 (California)Secondary
261Q00000XClinic/center 040000459 (California)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. M A C T Health Board Incorporated acts as a billing entity for following providers:
Provider NameDeborah F Wong
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952363178
PECOS PAC ID: 6002879624
Enrollment ID: I20041104001105
Provider NameRavinder Kadevari
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306873922
PECOS PAC ID: 0143271056
Enrollment ID: I20050208001057
Provider NameGabriel Rau Pettersen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740251727
PECOS PAC ID: 3274559406
Enrollment ID: I20051018000344
Provider NameJanet Louise Black
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1861472060
PECOS PAC ID: 1850305764
Enrollment ID: I20060131000266
Provider NameCharles L Edwards
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1063505972
PECOS PAC ID: 1456369974
Enrollment ID: I20060324000538
Provider NameElisabeth Siegler
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1326038787
PECOS PAC ID: 3072619485
Enrollment ID: I20070501000654
Provider NameRussell N Cotteral
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1619911047
PECOS PAC ID: 5092811059
Enrollment ID: I20070508000358
Provider NameAlton J Smalley
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1316946551
PECOS PAC ID: 4385735083
Enrollment ID: I20070809000728
Provider NameRobert Reina
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295739845
PECOS PAC ID: 6406917475
Enrollment ID: I20081209000545
Provider NameEstevan Acuna
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104821032
PECOS PAC ID: 8729133061
Enrollment ID: I20090909000778
Provider NameDouglas Fleming
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1871524611
PECOS PAC ID: 9335289966
Enrollment ID: I20091212000009
Provider NameWalter Kip Johnson
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1780919282
PECOS PAC ID: 1557401593
Enrollment ID: I20091222000598
Provider NameSikhnandan S Sidhu
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1306931522
PECOS PAC ID: 8022272079
Enrollment ID: I20120604000367
Provider NameChristopher L Jones
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1649594417
PECOS PAC ID: 8123249703
Enrollment ID: I20141023001998
Provider NameChrystal A L Bradley
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1366886392
PECOS PAC ID: 2961718176
Enrollment ID: I20150902003131
Provider NameCecilia Inez Mcpherson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1558733972
PECOS PAC ID: 3870893050
Enrollment ID: I20151216001427
Provider NameAngelo J Chavez Guerrero
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235465774
PECOS PAC ID: 9537296132
Enrollment ID: I20160225001197
Provider NameSara M Ray
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902248214
PECOS PAC ID: 0840559191
Enrollment ID: I20180115000185
Provider NameMatthew G Richardson
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1912028812
PECOS PAC ID: 6608113428
Enrollment ID: I20190131001834
Provider NameAndrew James Skokan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245800416
PECOS PAC ID: 7719389113
Enrollment ID: I20210707003573
Provider NameChristy Hobgood
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316482136
PECOS PAC ID: 6103228242
Enrollment ID: I20210712002196
Provider NameWendy J Carvajal
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1740587229
PECOS PAC ID: 6800287475
Enrollment ID: I20211216000432
Provider NameCherie Lynn Lafleur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750955167
PECOS PAC ID: 0840671939
Enrollment ID: I20220720003482
Provider NameFawad Zadran
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1891360111
PECOS PAC ID: 3678979622
Enrollment ID: I20220907000416
Provider NameBenjamin Robert Mcpherson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912639758
PECOS PAC ID: 3577934397
Enrollment ID: I20230113001398
Provider NameGwendelyn De Guzman Enriquez
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1588709547
PECOS PAC ID: 7113399528
Enrollment ID: I20230213001812
Provider NameLivia Speare Galli Rasmussen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1417618117
PECOS PAC ID: 9931563061
Enrollment ID: I20230907004022
Provider NameCatherine Ann Sullivan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821335688
PECOS PAC ID: 1052765302
Enrollment ID: I20230920004320
Provider NameSusan Margaret Abeldt
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1174816425
PECOS PAC ID: 7618323635
Enrollment ID: I20231027001475
Provider NameGary M Krupa
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1720164627
PECOS PAC ID: 3870644297
Enrollment ID: I20231228003126
Provider NameDaniel Joseph Duron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164299921
PECOS PAC ID: 6507219672
Enrollment ID: I20240125002177
Provider NameEmma Rae Roots
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841054400
PECOS PAC ID: 4385080944
Enrollment ID: I20240308002256
Provider NamePatricia Rivas
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1104864818
PECOS PAC ID: 4183060312
Enrollment ID: I20240311002777
Provider NameNina M Tecson
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1477840700
PECOS PAC ID: 4880970565
Enrollment ID: I20240311003464

Reviews and Comments


Clinic/Center in San Andreas, CA

Mountain Oak Health Centers
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 556 Mountain Ranch Road, San Andreas, CA 95249
Phone: 209-498-2014    Fax: 209-498-2143
Galen Inpatient Physicians, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 768 Mountain Ranch Rd, San Andreas, CA 95249
Phone: 209-754-3521    
Family Medical Center - San Andreas
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 704 Mountain Ranch Rd, San Andreas, CA 95249
Phone: 209-754-3521    
Mark Twain Medical Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 768 Mountain Ranch Rd, San Andreas, CA 95249
Phone: 209-754-3521    Fax: 209-754-2652
Gold Rush Inpatient Services, A Medical Corporation
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 768 Mountain Ranch Rd, San Andreas, CA 95249
Phone: 209-754-3521    
Mact Medical San Andreas
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1113 Hwy 49, San Andreas, CA 95249
Phone: 209-755-1400    Fax: 209-755-1430

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.