Southwestern Recovery Center, Llc - Medicare Primary Care in Grove City, OH

Southwestern Recovery Center, Llc is a medicare enrolled primary clinic (Family Medicine) in Grove City, Ohio. The current practice location for Southwestern Recovery Center, Llc is 4461 Broadway Ste 150, Grove City, Ohio. For appointments, you can reach them via phone at (614) 594-2141. The mailing address for Southwestern Recovery Center, Llc is 4461 Broadway Ste 150, Grove City, Ohio and phone number is () -.

Southwestern Recovery Center, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1295241933. 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 (614) 594-2141.

Contact Information

Southwestern Recovery Center, Llc
4461 Broadway Ste 150
Grove City
OH 43123-3064
(614) 594-2141
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameSouthwestern Recovery Center, Llc
SpecialityFamily Medicine
Location4461 Broadway Ste 150, Grove City, Ohio
Authorized Official Name and PositionBrian Dean (ADMINISTRATOR)
Authorized Official Contact6147065206
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southwestern Recovery Center, Llc
4461 Broadway Ste 150
Grove City
OH 43123-3064

Ph: () -
Southwestern Recovery Center, Llc
4461 Broadway Ste 150
Grove City
OH 43123-3064

Ph: (614) 594-2141

NPI Details:

NPI Number1295241933
Provider Enumeration Date12/18/2017
Last Update Date05/17/2019

Medicare PECOS Information:

Medicare PECOS PAC ID5294095956
Medicare Enrollment IDO20180129001817

Medical Identifiers

Medical identifiers for Southwestern Recovery Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295241933NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Secondary
101Y00000XCounselor (* (Not Available))Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
207QA0401XFamily Medicine - Addiction Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207RA0401XInternal Medicine - Addiction Medicine (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Secondary
291U00000XClinical Medical Laboratory (* (Not Available))Secondary
207Q00000XFamily Medicine (* (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. Southwestern Recovery Center, Llc acts as a billing entity for following providers:
Provider NameDavid P Keseg
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1679530307
PECOS PAC ID: 0840194809
Enrollment ID: I20040122000278
Provider NameAnthony R Derrico
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1609886993
PECOS PAC ID: 7911892179
Enrollment ID: I20040217000488
Provider NameVernon D Reynolds
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1174600852
PECOS PAC ID: 6406744655
Enrollment ID: I20040309000436
Provider NameAngel L Villanueva
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1255370714
PECOS PAC ID: 4284620527
Enrollment ID: I20040422000855
Provider NameRichard S Harris
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1811945801
PECOS PAC ID: 5698747988
Enrollment ID: I20040807000301
Provider NameLata Koneru
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881654945
PECOS PAC ID: 3375588098
Enrollment ID: I20080208000288
Provider NameLetisha E Leach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063656239
PECOS PAC ID: 0648316067
Enrollment ID: I20091014000820
Provider NameJennifer L Datta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083676969
PECOS PAC ID: 1254315971
Enrollment ID: I20110119000713
Provider NameJaime Allison Snyder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962844902
PECOS PAC ID: 8921232737
Enrollment ID: I20131010001048
Provider NameCarlos L Rico
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1750607388
PECOS PAC ID: 0143283549
Enrollment ID: I20140916002561
Provider NameWayne Cummings
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1902832868
PECOS PAC ID: 6002198009
Enrollment ID: I20170127001143
Provider NameGiti L Mayton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619406964
PECOS PAC ID: 1658647391
Enrollment ID: I20171025001366
Provider NameMegan Lynn Thrush
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1124375159
PECOS PAC ID: 1759647894
Enrollment ID: I20171107000428
Provider NameKevin J Donlon
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1316209018
PECOS PAC ID: 5193966646
Enrollment ID: I20181009001425

Reviews and Comments


Family Medicine in Grove City, OH

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Medicare: Not Enrolled in Medicare
Practice Location: 4151 Hoover Rd, Grove City, OH 43123
Phone: 614-875-3152    Fax: 614-875-0090
Doctors Hospital Family Practice, Ohiohealth
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Medicare: Not Enrolled in Medicare
Practice Location: 2030 Stringtown Rd, Third Floor, Grove City, OH 43123
Phone: 614-544-0101    Fax: 614-544-0102
Phillip B. Doudna, D.c., Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 4305 Broadway, Grove City, OH 43123
Phone: 614-875-1121    Fax: 614-875-1111
W D Henceroth Do Inc
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Medicare: Not Enrolled in Medicare
Practice Location: 3774 Broadway, Grove City, OH 43123
Phone: 614-875-6349    Fax: 614-875-3633
Grove City Internal Medicine
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Medicare: Medicare Enrolled
Practice Location: 3055 Columbus St, Grove City, OH 43123
Phone: 614-875-9900    
Advanced Family Medicine Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4160 Broadway, Grove City, OH 43123
Phone: 614-875-0079    Fax: 614-875-2008

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.