Primecare Of Southeastern Ohio, Inc. - Medicare Primary Care in Zanesville, OH

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Primecare Of Southeastern Ohio, Inc. is a medicare enrolled primary clinic (Family Medicine) in Zanesville, Ohio. The current practice location for Primecare Of Southeastern Ohio, Inc. is 751 Forest Ave Ste 402, Zanesville, Ohio. For appointments, you can reach them via phone at (740) 454-4651. The mailing address for Primecare Of Southeastern Ohio, Inc. is 860 Bethesda Dr, Zanesville, Ohio and phone number is (740) 454-4651.

Primecare Of Southeastern Ohio, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1417932294. 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 (740) 454-4651.

Contact Information

Primecare Of Southeastern Ohio, Inc.
751 Forest Ave Ste 402
Zanesville
OH 43701-2878
(740) 454-4651
(740) 454-4653

Map and Direction


Primary Care Clinic Profile

Full NamePrimecare Of Southeastern Ohio, Inc.
SpecialityFamily Medicine
Location751 Forest Ave Ste 402, Zanesville, Ohio
Authorized Official Name and PositionDave Lucey (COO)
Authorized Official Contact7404544651
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Primecare Of Southeastern Ohio, Inc.
860 Bethesda Dr
Zanesville
OH 43701-1800

Ph: (740) 454-4651		Primecare Of Southeastern Ohio, Inc.
751 Forest Ave Ste 402
Zanesville
OH 43701-2878

Ph: (740) 454-4651

NPI Details:

NPI Number1417932294
Provider Enumeration Date12/14/2005
Last Update Date03/25/2022

Medicare PECOS Information:

Medicare PECOS PAC ID3173557204
Medicare Enrollment IDO20050919000873

Medical Identifiers

Medical identifiers for Primecare Of Southeastern Ohio, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417932294NPI-NPPES
0989499MedicaidOH
CA1586OtherMEDICARE RAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
207RP1001XInternal Medicine - Pulmonary Disease (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Primecare Of Southeastern Ohio, Inc. acts as a billing entity for following providers:
Provider NameMichael Bobb
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588612006
PECOS PAC ID: 5395766323
Enrollment ID: I20051219000035
Provider NameAngela Michelle Pickens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710187521
PECOS PAC ID: 1557455755
Enrollment ID: I20070919000358
Provider NameMichael Zimmerer
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1760468268
PECOS PAC ID: 3678507704
Enrollment ID: I20080618000683
Provider NameMichael D Woolery
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881699114
PECOS PAC ID: 1355408675
Enrollment ID: I20090331000374
Provider NameCarol J Derwacter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619953924
PECOS PAC ID: 9931223179
Enrollment ID: I20100825000517
Provider NameWalter J Wielkiewicz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063497824
PECOS PAC ID: 0840224986
Enrollment ID: I20100827000537
Provider NameGregory L Kelso
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306821178
PECOS PAC ID: 6608957642
Enrollment ID: I20100827000607
Provider NameDouglas A Myers
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134105729
PECOS PAC ID: 2769416890
Enrollment ID: I20100827000624
Provider NameJames Gasparine
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1093908840
PECOS PAC ID: 3971771403
Enrollment ID: I20110727000399
Provider NameKadi L Addy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033595673
PECOS PAC ID: 4789992678
Enrollment ID: I20150925001006
Provider NameAlissa A Roe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356726046
PECOS PAC ID: 6406155753
Enrollment ID: I20160509001170
Provider NameSeth L Vensil
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891102489
PECOS PAC ID: 7315230422
Enrollment ID: I20160727001623
Provider NameMorgan Leigh Stephen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922512896
PECOS PAC ID: 5890058085
Enrollment ID: I20180423001644
Provider NameBillie Jo Rapol
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518432897
PECOS PAC ID: 3072857507
Enrollment ID: I20181210002367
Provider NameRachel N Graham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801361647
PECOS PAC ID: 9739411752
Enrollment ID: I20191024000939
Provider NameCaitlin N Lander
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285246132
PECOS PAC ID: 2365857133
Enrollment ID: I20210209002631
Provider NameBrian W Luft
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063498061
PECOS PAC ID: 7517048556
Enrollment ID: I20210212000511
Provider NameKelley D Rhoades
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871997312
PECOS PAC ID: 4880816123
Enrollment ID: I20210219000440
Provider NameSusan Beth Gray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619634193
PECOS PAC ID: 3476948902
Enrollment ID: I20220321001746

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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.