City of Clinton

A Medicare group practice based in Clinton, IL: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 0042203127), with 29 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0042203127The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
3
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040405001569 IL Part B Supplier - Clinic/Group Practice 1275695470
O20091117000530 IL Part A Provider - Rural Health Clinic 1366504565
O20091216000520 IL Part A Provider - Critical Access Hospital 1235211301

NPIs in this group 3

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 29

Clinicians who reassign their Medicare benefits to this group (27) or whom Care Compare lists as members (19).

Sources for this page