Beaver Medical Group P C

A Medicare group practice based in Redlands, CA: 11 NPIs enrolled under one PECOS associate control ID (PAC ID 0547164295), with 687 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0547164295The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Multi-Specialty - Physician, DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
8
Group size
251 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
30In 10 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20031124000449 CA Part B Supplier - Clinic/Group Practice 1649503319
O20121212000347 CA DME Supplier - Physician - Optometrist 1619914959
O20121129000152 CA DME Supplier - Multi-Specialty - Physician 1598706293
O20121130000481 CA DME Supplier - Physician - Optometrist 1790029759
O20121130000533 CA DME Supplier - Multi-Specialty - Physician 1609110667
O20131022002242 CA DME Supplier - Multi-Specialty - Physician 1427090281
O20130110000638 CA DME Supplier - Multi-Specialty - Physician 1275570830
O20130110000567 CA DME Supplier - Multi-Specialty - Physician 1144265919

NPIs in this group 11

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 687

Page 1 of 7

Clinicians who reassign their Medicare benefits to this group (687) or whom Care Compare lists as members (251).

Sources for this page