Pacific East Medical Group, Inc - Medicare Primary Care in El Cerrito, CA

Pacific East Medical Group, Inc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in El Cerrito, California. The current practice location for Pacific East Medical Group, Inc is 10104 San Pablo Ave, El Cerrito, California. For appointments, you can reach them via phone at (510) 558-0886. The mailing address for Pacific East Medical Group, Inc is 10104 San Pablo Ave, El Cerrito, California and phone number is (510) 558-0886.

Pacific East Medical Group, Inc is licensed to practice in California (license number G41883). The clinic also participates in the medicare program and its NPI number is 1457301632. 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 (510) 558-0886.

Contact Information

Pacific East Medical Group, Inc
10104 San Pablo Ave
El Cerrito
CA 94530-3510
(510) 558-0886
(510) 558-8504

Primary Care Clinic Profile

Full NamePacific East Medical Group, Inc
SpecialityClinic/Center
Location10104 San Pablo Ave, El Cerrito, California
Authorized Official Name and PositionAndrew B Wallach (PRESIDENT)
Authorized Official Contact5105580886
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pacific East Medical Group, Inc
10104 San Pablo Ave
El Cerrito
CA 94530-3510

Ph: (510) 558-0886
Pacific East Medical Group, Inc
10104 San Pablo Ave
El Cerrito
CA 94530-3510

Ph: (510) 558-0886

NPI Details:

NPI Number1457301632
Provider Enumeration Date05/11/2006
Last Update Date08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID0648206599
Medicare Enrollment IDO20081226000226

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Medical Identifiers

Medical identifiers for Pacific East Medical Group, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457301632NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care G41883 (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. Pacific East Medical Group, Inc acts as a billing entity for following providers:
Provider NameClaudell Stephens
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437240850
PECOS PAC ID: 2668659178
Enrollment ID: I20110610000076

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Clinic/Center in El Cerrito, CA

Planned Parenthood Northern California
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 320 El Cerrito Plaza, El Cerrito, CA 94530
Phone: 510-527-5806    

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