Life Connect Medical, Inc - Medicare Primary Care in Rancho Mirage, CA

Life Connect Medical, Inc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Rancho Mirage, California. The current practice location for Life Connect Medical, Inc is 35900 Bob Hope Dr, Suite # 100, Rancho Mirage, California. For appointments, you can reach them via phone at (760) 699-7117. The mailing address for Life Connect Medical, Inc is 36101 Bob Hope Dr, Ste. E-5 #117, Rancho Mirage, California and phone number is (760) 217-0126.

Life Connect Medical, Inc is licensed to practice in California (license number A86478). The clinic also participates in the medicare program and its NPI number is 1245489384. 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) 699-7117.

Contact Information

Life Connect Medical, Inc
35900 Bob Hope Dr
Suite # 100
Rancho Mirage
CA 92270-1766
(760) 699-7117
(760) 699-7750

Primary Care Clinic Profile

Full NameLife Connect Medical, Inc
SpecialityClinic/Center
Location35900 Bob Hope Dr, Rancho Mirage, California
Authorized Official Name and PositionPadma Khanchustambahm (OWNER)
Authorized Official Contact7604642166
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Life Connect Medical, Inc
36101 Bob Hope Dr
Ste. E-5 #117
Rancho Mirage
CA 92270-2001

Ph: (760) 217-0126
Life Connect Medical, Inc
35900 Bob Hope Dr
Suite # 100
Rancho Mirage
CA 92270-1766

Ph: (760) 699-7117

NPI Details:

NPI Number1245489384
Provider Enumeration Date09/12/2008
Last Update Date05/03/2016

Medicare PECOS Information:

Medicare PECOS PAC ID7416017751
Medicare Enrollment IDO20081117000684

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Medical Identifiers

Medical identifiers for Life Connect Medical, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245489384NPI-NPPES
AV186OtherCAMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care A86478 (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. Life Connect Medical, Inc acts as a billing entity for following providers:
Provider NamePadma Khanchustambham
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245243146
PECOS PAC ID: 8325077944
Enrollment ID: I20050804000382

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Provider NameSofia Peterson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386664498
PECOS PAC ID: 1456436476
Enrollment ID: I20080313000734

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Provider NameWanda K. Long
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003456609
PECOS PAC ID: 9537597976
Enrollment ID: I20200317001775

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Clinic/Center in Rancho Mirage, CA

Concept Medical Associates
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 35400 Bob Hope Dr, Suite # 209, Rancho Mirage, CA 92270
Phone: 760-699-7117    Fax: 760-699-7750
Mary A Howell Md A Medical Corporation
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 39000 Bob Hope Dr, #p317, Rancho Mirage, CA 92270
Phone: 760-340-3611    Fax: 760-340-2252
R Jeffrey Heilpern Md Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 39700 Bob Hope Drive, Suite 110, Rancho Mirage, CA 92270
Phone: 760-340-5545    Fax: 760-346-6208
Cambridge Hospitalists
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 35400 Bob Hope Dr, #102, Rancho Mirage, CA 92270
Phone: 760-972-6060    Fax: 702-492-1728
Age Right Wellness Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 35400 Bob Hope Dr, Suite 107, Rancho Mirage, CA 92270
Phone: 646-489-3312    
Tarleton Medical
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 39000 Bob Hope Drive, Suite K406, Rancho Mirage, CA 92270
Phone: 760-836-0708    Fax: 760-776-4293
360 Wellness Solutions Physical Therapy And Rehabilitation Services
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 194 Loch Lomond Rd, Rancho Mirage, CA 92270
Phone: 760-832-8025    

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