Md Primary Care Inc - Medicare Primary Care in Fort Pierce, FL

Md Primary Care Inc is a medicare enrolled primary clinic (Family Medicine) in Fort Pierce, Florida. The current practice location for Md Primary Care Inc is 2215 Nebraska Ave Ste 2-b, Fort Pierce, Florida. For appointments, you can reach them via phone at (772) 302-3767. The mailing address for Md Primary Care Inc is 8113 Kiawah Trce, Port St Lucie, Florida and phone number is (619) 398-6333.

Md Primary Care Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1033766027. 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 (772) 302-3767.

Contact Information

Md Primary Care Inc
2215 Nebraska Ave Ste 2-b
Fort Pierce
FL 34950-4866
(772) 302-3767
(888) 436-7197

Primary Care Clinic Profile

Full NameMd Primary Care Inc
SpecialityFamily Medicine
Location2215 Nebraska Ave Ste 2-b, Fort Pierce, Florida
Authorized Official Name and PositionChintan B Shah (CEO)
Authorized Official Contact6193986333
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Md Primary Care Inc
8113 Kiawah Trce
Port St Lucie
FL 34986-3026

Ph: (619) 398-6333
Md Primary Care Inc
2215 Nebraska Ave Ste 2-b
Fort Pierce
FL 34950-4866

Ph: (772) 302-3767

NPI Details:

NPI Number1033766027
Provider Enumeration Date08/23/2019
Last Update Date08/23/2019

Medicare PECOS Information:

Medicare PECOS PAC ID2163753401
Medicare Enrollment IDO20191017000661

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Medical Identifiers

Medical identifiers for Md Primary Care Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033766027NPI-NPPES

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. Md Primary Care Inc acts as a billing entity for following providers:
Provider NameChintan B Shah
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871782268
PECOS PAC ID: 8921124736
Enrollment ID: I20100929001459

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Provider NameSherise M Stark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669022505
PECOS PAC ID: 5991037798
Enrollment ID: I20191029000082

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Provider NameJessica Jeanlouis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982216743
PECOS PAC ID: 4688093891
Enrollment ID: I20201007000908

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