NPIMap

County of Putnam Office of Auditor

A Medicare group practice based in Ottawa, OH: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 0143244566), with 3 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0143244566The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Home Health Agency, Part A Provider - Hospice, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
OH
Enrollments
5
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
14In 9 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20060124000567 OH Part B Supplier - Ambulance Service Supplier 1194770248
O20071129000160 OH Part A Provider - Hospice 1972509024
O20071129000121 OH Part A Provider - Home Health Agency 1902802481
O20180108001456 OH Part B Supplier - Clinic/Group Practice 1831602119
O20120511000073 OH Part B Supplier - Mass Immunization (Roster Biller Only) 1700813920

NPIs in this group 5

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 3

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).

Sources for this page