Innovative Treatment Associates Inc - Medicare Primary Care in Cameron Park, CA

Innovative Treatment Associates Inc is a medicare enrolled primary clinic (Clinic/center) in Cameron Park, California. The current practice location for Innovative Treatment Associates Inc is 3581 Palmer Dr Ste 601, Cameron Park, California. For appointments, you can reach them via phone at (530) 391-9196. The mailing address for Innovative Treatment Associates Inc is 3031 Cinsant Dr Unit 2, Cameron Park, California and phone number is (530) 391-9196.

Innovative Treatment Associates Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003430299. 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 (530) 391-9196.

Contact Information

Innovative Treatment Associates Inc
3581 Palmer Dr Ste 601
Cameron Park
CA 95682-8238
(530) 391-9196
Not Available

Primary Care Clinic Profile

Full NameInnovative Treatment Associates Inc
SpecialityClinic/Center
Location3581 Palmer Dr Ste 601, Cameron Park, California
Authorized Official Name and PositionJohn Allen Rulison (PRESIDENT)
Authorized Official Contact5303919196
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Innovative Treatment Associates Inc
3031 Cinsant Dr Unit 2
Cameron Park
CA 95682-7004

Ph: (530) 391-9196
Innovative Treatment Associates Inc
3581 Palmer Dr Ste 601
Cameron Park
CA 95682-8238

Ph: (530) 391-9196

NPI Details:

NPI Number1003430299
Provider Enumeration Date06/03/2020
Last Update Date06/03/2020

Medicare PECOS Information:

Medicare PECOS PAC ID2163842253
Medicare Enrollment IDO20201011000019

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Medical Identifiers

Medical identifiers for Innovative Treatment Associates Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003430299NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (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. Innovative Treatment Associates Inc acts as a billing entity for following providers:
Provider NameJohn A Rulison
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952380446
PECOS PAC ID: 4880609338
Enrollment ID: I20060220000601

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Innovative Treatment Associates
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Medicare: Not Enrolled in Medicare
Practice Location: 3581 Palmer Dr Ste 601, Cameron Park, CA 95682
Phone: 530-556-5363    

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