Make a Payment Online

Piga Primary Care Associates makes it easy for you to settle your invoice or account statement. Send your payment electronically right now by providing the requested information below. It's fast, safe and convenient!

Patient Information

Name of Patient

Date of Birth

(mm/dd/yyyy)

Payment Amount

(US Dollars)

Purpose of Payment

Payer and Billing Information

First Name

(as shown on card/account)

Last Name

(as shown on card/account)

Address 1

Address 2

(optional Apt#, Ste#)

City

State

Zip Code

Phone Number

( ) -

E-mail Address

Re-Enter E-mail