NPIMap

Stedman-Wade Health Services, Inc.

A Medicare group practice based in Fayetteville, NC: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 0042205189), with 24 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0042205189The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
NC
Enrollments
4
Group size
17 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20080312000140 NC Part A Provider - Federally Qualified Health Center (FQHC) 1578534871
O20110622000171 NC Part B Supplier - Clinic/Group Practice 1609186790
O20120719000421 NC Part A Provider - Federally Qualified Health Center (FQHC) 1609186790
O20221209000161 NC Part B Supplier - Clinic/Group Practice 1912639808

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 24

Clinicians who reassign their Medicare benefits to this group (24) or whom Care Compare lists as members (17).

Sources for this page