Folsom Lake Primary Care Pc - Medicare Primary Care in Folsom, CA

Folsom Lake Primary Care Pc is a medicare enrolled primary clinic (Internal Medicine) in Folsom, California. The current practice location for Folsom Lake Primary Care Pc is 2575 E Bidwell St Ste 210, Folsom, California. For appointments, you can reach them via phone at (916) 984-7850. The mailing address for Folsom Lake Primary Care Pc is 271 American River Canyon Dr, Folsom, California and phone number is () -.

Folsom Lake Primary Care Pc is licensed to practice in California (license number C56218). The clinic also participates in the medicare program and its NPI number is 1043705718. 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 (916) 984-7850.

Contact Information

Folsom Lake Primary Care Pc
2575 E Bidwell St Ste 210
Folsom
CA 95630-6446
(916) 984-7850
Not Available

Primary Care Clinic Profile

Full NameFolsom Lake Primary Care Pc
SpecialityInternal Medicine
Location2575 E Bidwell St Ste 210, Folsom, California
Authorized Official Name and PositionHadi Firoz (PRESIDENT)
Authorized Official Contact9167900450
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Folsom Lake Primary Care Pc
271 American River Canyon Dr
Folsom
CA 95630-7143

Ph: () -
Folsom Lake Primary Care Pc
2575 E Bidwell St Ste 210
Folsom
CA 95630-6446

Ph: (916) 984-7850

NPI Details:

NPI Number1043705718
Provider Enumeration Date06/26/2018
Last Update Date06/26/2018

Medicare PECOS Information:

Medicare PECOS PAC ID4385992940
Medicare Enrollment IDO20180730003405

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Medical Identifiers

Medical identifiers for Folsom Lake Primary Care Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043705718NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine C56218 (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. Folsom Lake Primary Care Pc acts as a billing entity for following providers:
Provider NameHadi Firoz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972576270
PECOS PAC ID: 7719884816
Enrollment ID: I20140314000137

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Provider NameJasleen Kaur Agroia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457069296
PECOS PAC ID: 3173986874
Enrollment ID: I20230829001115

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