Tiffany Anderson Terrell, Do. Inc - Medicare Primary Care in Chino, CA

Tiffany Anderson Terrell, Do. Inc is a medicare enrolled primary clinic (Clinic/center) in Chino, California. The current practice location for Tiffany Anderson Terrell, Do. Inc is 5253 Riverside Dr, Chino, California. For appointments, you can reach them via phone at (909) 464-2845. The mailing address for Tiffany Anderson Terrell, Do. Inc is 13193 Central Ave, Suite 210, Chino, California and phone number is (909) 548-4900.

Tiffany Anderson Terrell, Do. Inc is licensed to practice in California (license number 20A8506). The clinic also participates in the medicare program and its NPI number is 1053638601. 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) 464-2845.

Contact Information

Tiffany Anderson Terrell, Do. Inc
5253 Riverside Dr
Chino
CA 91710-4151
(909) 464-2845
(909) 464-2848

Primary Care Clinic Profile

Full NameTiffany Anderson Terrell, Do. Inc
SpecialityClinic/Center
Location5253 Riverside Dr, Chino, California
Authorized Official Name and PositionTiffany Anderson Terrell (PRESIDENT/OWNER)
Authorized Official Contact9095484900
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tiffany Anderson Terrell, Do. Inc
13193 Central Ave
Suite 210
Chino
CA 91710-4179

Ph: (909) 548-4900
Tiffany Anderson Terrell, Do. Inc
5253 Riverside Dr
Chino
CA 91710-4151

Ph: (909) 464-2845

NPI Details:

NPI Number1053638601
Provider Enumeration Date04/22/2010
Last Update Date11/09/2010

Medicare PECOS Information:

Medicare PECOS PAC ID0345371282
Medicare Enrollment IDO20100622000137

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Medical Identifiers

Medical identifiers for Tiffany Anderson Terrell, Do. Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053638601NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 20A8506 (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. Tiffany Anderson Terrell, Do. Inc acts as a billing entity for following providers:
Provider NameTiffany L Anderson Terrell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629188404
PECOS PAC ID: 6901853662
Enrollment ID: I20050405000453

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Provider NameJennifer Anne Hagler Buckley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174179113
PECOS PAC ID: 9133551369
Enrollment ID: I20191108002550

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Provider NameCameon Adonna Reynolds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275291924
PECOS PAC ID: 1052793494
Enrollment ID: I20221205002862

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Clinic/Center in Chino, CA

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Medicare: Not Enrolled in Medicare
Practice Location: 12555 Central Ave Ste A, Chino, CA 91710
Phone: 909-735-2446    Fax: 909-206-1553
Concentra Primary Care Of California, A Medical Corporation
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Medicare: Not Enrolled in Medicare
Practice Location: 15302 El Prado Rd, Chino, CA 91710
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