St Francis Primary Care Clinic - Medicare Primary Care in Leesburg, FL

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St Francis Primary Care Clinic is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Leesburg, Florida. The current practice location for St Francis Primary Care Clinic is 620 S Lake St Ste 2, Leesburg, Florida. For appointments, you can reach them via phone at (352) 314-6589. The mailing address for St Francis Primary Care Clinic is Po Box 491500, Leesburg, Florida and phone number is (352) 314-6589.

St Francis Primary Care Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1205571015. 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 (352) 314-6589.

Contact Information

St Francis Primary Care Clinic
620 S Lake St Ste 2
Leesburg
FL 34748-6059
(352) 314-6589
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameSt Francis Primary Care Clinic
SpecialityClinic/Center
Location620 S Lake St Ste 2, Leesburg, Florida
Authorized Official Name and PositionDavid P Wagner (CHIEF FINANCIAL OFFICER)
Authorized Official Contact3212045222
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
St Francis Primary Care Clinic
Po Box 491500
Leesburg
FL 34749-1500

Ph: (352) 314-6589		St Francis Primary Care Clinic
620 S Lake St Ste 2
Leesburg
FL 34748-6059

Ph: (352) 314-6589

NPI Details:

NPI Number1205571015
Provider Enumeration Date05/05/2022
Last Update Date02/03/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3779962451
Medicare Enrollment IDO20220627002279

Medical Identifiers

Medical identifiers for St Francis Primary Care Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205571015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (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. St Francis Primary Care Clinic acts as a billing entity for following providers:
Provider NameRoger C Roque
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437156916
PECOS PAC ID: 4981603560
Enrollment ID: I20070207000629
Provider NameJennifer Antoine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346756897
PECOS PAC ID: 2567722614
Enrollment ID: I20180209000711
Provider NameAngela Michelle King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164187977
PECOS PAC ID: 1456731363
Enrollment ID: I20220709000937
Provider NameAshley Michele Tyce
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558073924
PECOS PAC ID: 0345610176
Enrollment ID: I20230111003245
Provider NameAlejandro Sierra-ocampo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548049562
PECOS PAC ID: 1759733082
Enrollment ID: I20240123000078

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.