NPIMap

State of Vermont

A Medicare group practice based in Berlin, VT: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0446487011), with 16 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0446487011The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
VT
Enrollments
3
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 3 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20131206000528 VT Part B Supplier - Clinic/Group Practice 1043567977
O20160902000709 VT Part A Provider - Hospital 1043567977
O20201102000153 VT Part B Supplier - Independent Clinical Laboratory 1215151410

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 16

Clinicians who reassign their Medicare benefits to this group (16) or whom Care Compare lists as members (6).

Sources for this page