Greene County Medical Center

A Medicare group practice based in Jefferson, IA: 12 NPIs enrolled under one PECOS associate control ID (PAC ID 0143208595), with 33 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0143208595The 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, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
IA
Enrollments
5
Group size
16 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 1 place

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20120319000699 IA Part A Provider - Critical Access Hospital 1629153176
O20040712000717 IA Part B Supplier - Clinic/Group Practice 1245260652
O20071121000309 IA Part A Provider - Critical Access Hospital 1083654883
O20121206000595 IA Part B Supplier - Mass Immunization (Roster Biller Only) 1073871471
O20190318000040 IA Part A Provider - Rural Health Clinic 1457825192

NPIs in this group 12

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 33

Clinicians who reassign their Medicare benefits to this group (32) or whom Care Compare lists as members (16).

Sources for this page