Family Legacy Medical Care, Pa - Medicare Primary Care in Elizabeth, NJ

Family Legacy Medical Care, Pa is a medicare enrolled primary clinic (Family Medicine) in Elizabeth, New Jersey. The current practice location for Family Legacy Medical Care, Pa is 115 Jefferson Ave, Elizabeth, New Jersey. For appointments, you can reach them via phone at (908) 351-6663. The mailing address for Family Legacy Medical Care, Pa is 115 Jefferson Ave, Elizabeth, New Jersey and phone number is (908) 351-6663.

Family Legacy Medical Care, Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1043704810. 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 (908) 351-6663.

Contact Information

Family Legacy Medical Care, Pa
115 Jefferson Ave
Elizabeth
NJ 07201-2417
(908) 351-6663
(908) 351-1760

Primary Care Clinic Profile

Full NameFamily Legacy Medical Care, Pa
SpecialityFamily Medicine
Location115 Jefferson Ave, Elizabeth, New Jersey
Authorized Official Name and PositionPascale Ferdinand (PHYSICIAN)
Authorized Official Contact9083516663
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Family Legacy Medical Care, Pa
115 Jefferson Ave
Elizabeth
NJ 07201-2417

Ph: (908) 351-6663
Family Legacy Medical Care, Pa
115 Jefferson Ave
Elizabeth
NJ 07201-2417

Ph: (908) 351-6663

NPI Details:

NPI Number1043704810
Provider Enumeration Date06/15/2018
Last Update Date01/19/2019

Medicare PECOS Information:

Medicare PECOS PAC ID0648510446
Medicare Enrollment IDO20190313002616

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Medical Identifiers

Medical identifiers for Family Legacy Medical Care, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043704810NPI-NPPES
14126510OtherNJCAQH
10655985OtherNJCAQH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
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. Family Legacy Medical Care, Pa acts as a billing entity for following providers:
Provider NameMichel-ange E Ferdinand
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1770686289
PECOS PAC ID: 9133152986
Enrollment ID: I20050913000921

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Provider NamePascale Ferdinand
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487067856
PECOS PAC ID: 8628317708
Enrollment ID: I20190307001461

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› Verified 8 days ago

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