Executive Urgent Care Centers Inc - Medicare Primary Care in Indian Wells, CA

Executive Urgent Care Centers Inc is a medicare enrolled primary clinic (Clinic/center - Urgent Care) in Indian Wells, California. The current practice location for Executive Urgent Care Centers Inc is 74785 Hwy 111, Suite 100, Indian Wells, California. For appointments, you can reach them via phone at (760) 346-3939. The mailing address for Executive Urgent Care Centers Inc is 18400 Us Highway 18 Ste A, Apple Valley, California and phone number is (760) 242-3939.

Executive Urgent Care Centers Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124796362. 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 (760) 346-3939.

Contact Information

Executive Urgent Care Centers Inc
74785 Hwy 111, Suite 100
Indian Wells
CA 92210
(760) 346-3939
Not Available

Primary Care Clinic Profile

Full NameExecutive Urgent Care Centers Inc
SpecialityClinic/Center
Location74785 Hwy 111, Suite 100, Indian Wells, California
Authorized Official Name and PositionPedram Ilbeigi (CEO)
Authorized Official Contact9732719183
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Executive Urgent Care Centers Inc
18400 Us Highway 18 Ste A
Apple Valley
CA 92307-2306

Ph: (760) 242-3939
Executive Urgent Care Centers Inc
74785 Hwy 111, Suite 100
Indian Wells
CA 92210

Ph: (760) 346-3939

NPI Details:

NPI Number1124796362
Provider Enumeration Date09/02/2021
Last Update Date09/02/2021

Medicare PECOS Information:

Medicare PECOS PAC ID8628454824
Medicare Enrollment IDO20220926000694

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Medical Identifiers

Medical identifiers for Executive Urgent Care Centers Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124796362NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
208800000XUrology (* (Not Available))Secondary
213E00000XPodiatrist (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (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. Executive Urgent Care Centers Inc acts as a billing entity for following providers:
Provider NameBohdan T Olesnicky
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1043254709
PECOS PAC ID: 1153490933
Enrollment ID: I20080520000347

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Provider NameGlenn Arthur Cooperman
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1679821979
PECOS PAC ID: 7214176403
Enrollment ID: I20130619000361

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› Verified 8 days ago

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› Verified 8 days ago


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