Owensville Primary Care, Inc

A Medicare group practice based in West River, MD: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 0244229474), with 10 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0244229474The 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
MD
Enrollments
4
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 3 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040511001400 MD Part A Provider - Federally Qualified Health Center (FQHC) 1225110067
O20041019001152 MD Part B Supplier - Clinic/Group Practice 1225110067
O20180927001817 MD Part A Provider - Federally Qualified Health Center (FQHC) 1174019327
O20220202001302 MD Part A Provider - Federally Qualified Health Center (FQHC) 1942875026

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 10

Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (4).

Sources for this page