Terracina Medical Clinic Inc - Medicare Primary Care in Yucaipa, CA

Terracina Medical Clinic Inc is a medicare enrolled primary clinic (Family Medicine) in Yucaipa, California. The current practice location for Terracina Medical Clinic Inc is 34636 County Line Rd, Suite 32, Yucaipa, California. For appointments, you can reach them via phone at (909) 795-9355. The mailing address for Terracina Medical Clinic Inc is 34636 County Line Rd Ste 32, Yucaipa, California and phone number is (909) 795-9355.

Terracina Medical Clinic Inc is licensed to practice in California (license number A65841). The clinic also participates in the medicare program and its NPI number is 1336356690. 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 (909) 795-9355.

Contact Information

Terracina Medical Clinic Inc
34636 County Line Rd
Suite 32
Yucaipa
CA 92399-5393
(909) 795-9355
(909) 795-9439

Primary Care Clinic Profile

Full NameTerracina Medical Clinic Inc
SpecialityFamily Medicine
Location34636 County Line Rd, Yucaipa, California
Authorized Official Name and PositionMaged G Samaan (OWNER)
Authorized Official Contact9097959355
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Terracina Medical Clinic Inc
34636 County Line Rd Ste 32
Yucaipa
CA 92399-5393

Ph: (909) 795-9355
Terracina Medical Clinic Inc
34636 County Line Rd
Suite 32
Yucaipa
CA 92399-5393

Ph: (909) 795-9355

NPI Details:

NPI Number1336356690
Provider Enumeration Date05/17/2007
Last Update Date10/31/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0446154280
Medicare Enrollment IDO20031122000144

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Medical Identifiers

Medical identifiers for Terracina Medical Clinic Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336356690NPI-NPPES
00AX65840MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A65841 (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. Terracina Medical Clinic Inc acts as a billing entity for following providers:
Provider NameMaged G Samaan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508856543
PECOS PAC ID: 0941104707
Enrollment ID: I20120209000314

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