Redding Primary Care Medical Group, Inc - Medicare Primary Care in Redding, CA

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Redding Primary Care Medical Group, Inc is a medicare enrolled primary clinic (Clinic/center) in Redding, California. The current practice location for Redding Primary Care Medical Group, Inc is 1093 Hilltop Dr, Redding, California. For appointments, you can reach them via phone at (530) 221-1565. The mailing address for Redding Primary Care Medical Group, Inc is 1093 Hilltop Dr, Redding, California and phone number is (530) 221-1565.

Redding Primary Care Medical Group, Inc is licensed to practice in California (license number BUSS LIC# 23151). The clinic also participates in the medicare program and its NPI number is 1376669481. 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 (530) 221-1565.

Contact Information

Redding Primary Care Medical Group, Inc
1093 Hilltop Dr
Redding
CA 96003-3811
(530) 221-1565
(530) 221-3912

Map and Direction


Primary Care Clinic Profile

Full NameRedding Primary Care Medical Group, Inc
SpecialityClinic/Center
Location1093 Hilltop Dr, Redding, California
Authorized Official Name and PositionLinda Yvonne Fullerton (ADMINISTRATOR)
Authorized Official Contact5302211565
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Redding Primary Care Medical Group, Inc
1093 Hilltop Dr
Redding
CA 96003-3811

Ph: (530) 221-1565		Redding Primary Care Medical Group, Inc
1093 Hilltop Dr
Redding
CA 96003-3811

Ph: (530) 221-1565

NPI Details:

NPI Number1376669481
Provider Enumeration Date03/21/2007
Last Update Date06/16/2021

Medicare PECOS Information:

Medicare PECOS PAC ID0042292815
Medicare Enrollment IDO20040604000413

Medical Identifiers

Medical identifiers for Redding Primary Care Medical Group, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376669481NPI-NPPES
05D1064577OtherCAMEDICARE CLIA NUMBER
ZZZ11432ZOtherCAMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center BUSS LIC# 23151 (California)Primary
363LF0000XNurse Practitioner - Family (* (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. Redding Primary Care Medical Group, Inc acts as a billing entity for following providers:
Provider NameJay S Roitman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366461220
PECOS PAC ID: 1052363900
Enrollment ID: I20050218000441
Provider NameDorothy Ann Brooks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306972880
PECOS PAC ID: 6608820766
Enrollment ID: I20050311000610
Provider NameFrederick M David
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1255313565
PECOS PAC ID: 5991746455
Enrollment ID: I20050516000611
Provider NameShane M Swanson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013923598
PECOS PAC ID: 5799705729
Enrollment ID: I20051205000828
Provider NameRodney T Phillips
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306868336
PECOS PAC ID: 1759363484
Enrollment ID: I20070426000347
Provider NameMichael D Jorde
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629090709
PECOS PAC ID: 7416939145
Enrollment ID: I20070426000388
Provider NameMark E Pierce
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295753564
PECOS PAC ID: 1557343282
Enrollment ID: I20070426000406
Provider NameClinton E Evans
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235282559
PECOS PAC ID: 5092874768
Enrollment ID: I20081110000672
Provider NameJesse G Livingston
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235429572
PECOS PAC ID: 0547560427
Enrollment ID: I20151125000638
Provider NameDavid W Yoon
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1689075582
PECOS PAC ID: 1052695269
Enrollment ID: I20170822002364

Reviews and Comments


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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.