Arch Street Medical Associates - Medicare Primary Care in Redwood City, CA

Arch Street Medical Associates is a medicare enrolled primary clinic (General Practice) in Redwood City, California. The current practice location for Arch Street Medical Associates is 143 Birch Street, Redwood City, California. For appointments, you can reach them via phone at (650) 366-1141. The mailing address for Arch Street Medical Associates is 143 Birch Street, Redwood City, California and phone number is (650) 366-1141.

Arch Street Medical Associates is licensed to practice in California (license number A31093). The clinic also participates in the medicare program and its NPI number is 1396041208. 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 (650) 366-1141.

Contact Information

Arch Street Medical Associates
143 Birch Street
Redwood City
CA 94062
(650) 366-1141
(650) 366-1265

Primary Care Clinic Profile

Full NameArch Street Medical Associates
SpecialityGeneral Practice
Location143 Birch Street, Redwood City, California
Authorized Official Name and PositionPeter J Bulluck (CEO)
Authorized Official Contact6503661141
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Arch Street Medical Associates
143 Birch Street
Redwood City
CA 94062

Ph: (650) 366-1141
Arch Street Medical Associates
143 Birch Street
Redwood City
CA 94062

Ph: (650) 366-1141

NPI Details:

NPI Number1396041208
Provider Enumeration Date02/10/2011
Last Update Date02/11/2011

Medicare PECOS Information:

Medicare PECOS PAC ID4688812480
Medicare Enrollment IDO20130606000716

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Medical Identifiers

Medical identifiers for Arch Street Medical Associates such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396041208NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice A31093 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Arch Street Medical Associates acts as a billing entity for following providers:
Provider NamePeter J Bullock
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1548299027
PECOS PAC ID: 0446291884
Enrollment ID: I20050517000232

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Provider NameAbraham Hafiz Rodriguez
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1851731616
PECOS PAC ID: 2567606924
Enrollment ID: I20200115000273

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