Senior Doc Oregon, Pc - Medicare Primary Care in Orange, CA

Senior Doc Oregon, Pc is a medicare enrolled primary clinic (Family Medicine) in Orange, California. The current practice location for Senior Doc Oregon, Pc is 2592 N Santiago Blvd, Orange, California. For appointments, you can reach them via phone at (855) 434-7763. The mailing address for Senior Doc Oregon, Pc is 2592 N Santiago Blvd, Orange, California and phone number is (855) 434-7763.

Senior Doc Oregon, Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1063192029. 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 (855) 434-7763.

Contact Information

Senior Doc Oregon, Pc
2592 N Santiago Blvd
Orange
CA 92867-1862
(855) 434-7763
(949) 281-5550

Primary Care Clinic Profile

Full NameSenior Doc Oregon, Pc
SpecialityFamily Medicine
Location2592 N Santiago Blvd, Orange, California
Authorized Official Name and PositionJohn Mark Geiss (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact8554347763
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Senior Doc Oregon, Pc
2592 N Santiago Blvd
Orange
CA 92867-1862

Ph: (855) 434-7763
Senior Doc Oregon, Pc
2592 N Santiago Blvd
Orange
CA 92867-1862

Ph: (855) 434-7763

NPI Details:

NPI Number1063192029
Provider Enumeration Date07/24/2023
Last Update Date07/24/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0749643716
Medicare Enrollment IDO20230824001983

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Medical Identifiers

Medical identifiers for Senior Doc Oregon, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063192029NPI-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. Senior Doc Oregon, Pc acts as a billing entity for following providers:
Provider NameJohn M Geiss
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053651497
PECOS PAC ID: 5890933071
Enrollment ID: I20230928002351

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Provider NameSarah B Chandler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720144793
PECOS PAC ID: 2961889381
Enrollment ID: I20231102000841

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