Primary Medical Care Center Iv, Inc. is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Mangonia Park, Florida. The current practice location for Primary Medical Care Center Iv, Inc. is 1233 45th St Ste B4, Mangonia Park, Florida. For appointments, you can reach them via phone at
(561) 250-0000. The mailing address for Primary Medical Care Center Iv, Inc. is 11500 Nw 7th Ave, Miami, Florida and phone number is (561) 250-0000.
Primary Medical Care Center Iv, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1538872528. 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
(561) 250-0000.
Primary Care Clinic Profile
| Full Name | Primary Medical Care Center Iv, Inc. |
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| Speciality | Clinic/Center |
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| Location | 1233 45th St Ste B4, Mangonia Park, Florida |
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| Authorized Official Name and Position | Prinston Jean-gluade (CEO) |
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| Authorized Official Contact | 3053451369 |
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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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Primary Medical Care Center Iv, Inc.
11500 Nw 7th Ave
Miami
FL 33168-2506
Ph: (561) 250-0000 | Primary Medical Care Center Iv, Inc.
1233 45th St Ste B4
Mangonia Park
FL 33407-2162
Ph: (561) 250-0000 |
NPI Details:
| NPI Number | 1538872528 |
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| Provider Enumeration Date | 01/04/2023 |
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| Last Update Date | 01/04/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 3577092766 |
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| Medicare Enrollment ID | O20250203001855 |
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Medical Identifiers
Medical identifiers for Primary Medical Care Center Iv, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538872528 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 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.
Primary Medical Care Center Iv, Inc. acts as a billing entity for following providers:
| Provider Name | James Yves Denis |
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| Provider Type | Practitioner - General Practice |
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| Provider Identifiers | NPI Number: 1235208133
PECOS PAC ID: 8527067354
Enrollment ID: I20081231000493 |
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