Maine Mobile MRI Assoc

A Medicare group practice based in Manchester, ME: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0042274086), with 9 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0042274086The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Diagnostic Testing Facility (Idtf)
Enrolled in
ME
Enrollments
3
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
14In 8 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20140221000916 ME Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1649607524
O20140324001801 ME Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1235567843
O20250403001649 ME Part B Supplier - Clinic/Group Practice 1649607524

NPIs in this group 2

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 9

Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (9).

Sources for this page