NPIMap

County of Clay

A Medicare group practice based in Flora, IL: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 0042101982), with 143 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0042101982The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Hospital Department(S), Part B Supplier - Pharmacy
Enrolled in
IL
Enrollments
9
Group size
77 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 3 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20040322000969 IL Part B Supplier - Clinic/Group Practice 1811946411
O20061004000273 IL Part A Provider - Rural Health Clinic 1831120401
O20080702000343 IL Part A Provider - Critical Access Hospital 1336345578
O20071220000378 IL Part A Provider - Critical Access Hospital 1184655136
O20160315002731 IL Part A Provider - Rural Health Clinic 1871950550
O20180801002178 IL Part B Supplier - Hospital Department(S) 1184655136
O20100830000476 IL Part A Provider - Rural Health Clinic 1811946411
O20240514002184 IL Part B Supplier - Pharmacy 1235990276
O20230616000811 IL MDPP Supplier - in-Person MDPP Supplier 1184655136

NPIs in this group 6

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 143

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (138) or whom Care Compare lists as members (77).

Sources for this page