Ziva Medical Primary Care Llc - Medicare Primary Care in Mexico, MO

Ziva Medical Primary Care Llc is a medicare enrolled primary clinic (Family Medicine) in Mexico, Missouri. The current practice location for Ziva Medical Primary Care Llc is 515 E Promenade St Ste 1, Mexico, Missouri. For appointments, you can reach them via phone at (573) 570-3520. The mailing address for Ziva Medical Primary Care Llc is Po Box 197, Lakewood, New Jersey and phone number is () -.

Ziva Medical Primary Care Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1144004821. 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 (573) 570-3520.

Contact Information

Ziva Medical Primary Care Llc
515 E Promenade St Ste 1
Mexico
MO 65265-2966
(573) 570-3520
Not Available

Primary Care Clinic Profile

Full NameZiva Medical Primary Care Llc
SpecialityFamily Medicine
Location515 E Promenade St Ste 1, Mexico, Missouri
Authorized Official Name and PositionAmanda Shurtz (CEO)
Authorized Official Contact5735703555
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ziva Medical Primary Care Llc
Po Box 197
Lakewood
NJ 08701-0197

Ph: () -
Ziva Medical Primary Care Llc
515 E Promenade St Ste 1
Mexico
MO 65265-2966

Ph: (573) 570-3520

NPI Details:

NPI Number1144004821
Provider Enumeration Date08/23/2023
Last Update Date08/23/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3971957812
Medicare Enrollment IDO20230927000919

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Medical Identifiers

Medical identifiers for Ziva Medical Primary Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144004821NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
261QP2300XClinic/center - Primary Care (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ziva Medical Primary Care Llc acts as a billing entity for following providers:
Provider NameStever J Taylor
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366436206
PECOS PAC ID: 3577693357
Enrollment ID: I20100607000030

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Provider NameAnnette Marie Holt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659888428
PECOS PAC ID: 3678832375
Enrollment ID: I20180125000231

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Family Medicine in Mexico, MO

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