Tracy Occupational Medical Center - Medicare Primary Care in Tracy, CA

Tracy Occupational Medical Center is a medicare enrolled primary clinic (Family Medicine) in Tracy, California. The current practice location for Tracy Occupational Medical Center is 644 W 12th St, Tracy, California. For appointments, you can reach them via phone at (209) 832-8984. The mailing address for Tracy Occupational Medical Center is 644 W 12th St, Tracy, California and phone number is (209) 832-8984.

Tracy Occupational Medical Center is licensed to practice in California (license number 20A7496). The clinic also participates in the medicare program and its NPI number is 1568522878. 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 (209) 832-8984.

Contact Information

Tracy Occupational Medical Center
644 W 12th St
Tracy
CA 95376-3437
(209) 832-8984
(209) 832-8988

Primary Care Clinic Profile

Full NameTracy Occupational Medical Center
SpecialityFamily Medicine
Location644 W 12th St, Tracy, California
Authorized Official Name and PositionJagdish Ambalal Patel (PRESIDENT)
Authorized Official Contact2098328984
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tracy Occupational Medical Center
644 W 12th St
Tracy
CA 95376-3437

Ph: (209) 832-8984
Tracy Occupational Medical Center
644 W 12th St
Tracy
CA 95376-3437

Ph: (209) 832-8984

NPI Details:

NPI Number1568522878
Provider Enumeration Date12/11/2006
Last Update Date10/19/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6507893104
Medicare Enrollment IDO20050726000411

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Medical Identifiers

Medical identifiers for Tracy Occupational Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568522878NPI-NPPES
20A7496OtherCASTATE LICENSE DR. PULLIAM
BH8637881OtherCADR. HUBLI BNDD NUMBER
A31816OtherCASTATE LICENSE DR. PATEL
00A85126MedicaidCA
BP4399944OtherCADR. PULLIAM BNDD NUMBER
A855092OtherCASTATE LICENSE DR. HUBLI
AP8331112OtherCADR. PATEL BNDD NUMBER
00A318160MedicaidCA
05D0695064903593OtherCACLIA NUMBER
AP8331112OtherCABNDD NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A31816 (California)Secondary
207Q00000XFamily Medicine A855092 (California)Secondary
207Q00000XFamily Medicine 20A7496 (California)Primary
207QS0010XFamily Medicine - Sports Medicine 20A7496 (California)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Tracy Occupational Medical Center acts as a billing entity for following providers:
Provider NameIan T Pulliam
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245262682
PECOS PAC ID: 4486692704
Enrollment ID: I20050418001303

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Provider NameJagdish A Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407897481
PECOS PAC ID: 0840369344
Enrollment ID: I20081110000502

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Provider NameRicardo B Echon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821417718
PECOS PAC ID: 4587973177
Enrollment ID: I20151021003060

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Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639776933
PECOS PAC ID: 8729441415
Enrollment ID: I20230829000597

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Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356073381
PECOS PAC ID: 7719340124
Enrollment ID: I20230901001934

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Family Medicine in Tracy, CA

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Medicare: Not Enrolled in Medicare
Practice Location: 1441 N Tracy Blvd, Tracy, CA 95376
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Medicare: Not Enrolled in Medicare
Practice Location: 2160 W Grant Line Rd, Ste.230, Tracy, CA 95377
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Praveena Sarma Md Medical Corp
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Medicare: Medicare Enrolled
Practice Location: 652 W 11th St, Suite 129, Tracy, CA 95376
Phone: 209-833-0998    Fax: 209-832-3006
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Medicare: Not Enrolled in Medicare
Practice Location: 1470 Bessie Ave, Tracy, CA 95376
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