NPIMap

Beloved Community Family Wellness Center

A Medicare group practice based in Chicago, IL: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 0042216038), with 41 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0042216038The 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
IL
Enrollments
3
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20061016000042 IL Part B Supplier - Clinic/Group Practice 1760408439
O20130118000418 IL Part A Provider - Federally Qualified Health Center (FQHC) 1114278009
O20101116000006 IL Part A Provider - Federally Qualified Health Center (FQHC) 1144528167

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 41

Clinicians who reassign their Medicare benefits to this group (41) or whom Care Compare lists as members (5).

Sources for this page