Pennsylvania Department of Human Services

A Medicare group practice based in Torrance, PA: 10 NPIs enrolled under one PECOS associate control ID (PAC ID 0547168064), with 145 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0547168064The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
PA
Enrollments
17
Group size
34 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
17In 10 places

Enrollment records 17

Enrollment IDStateProvider typeNPI
O20031222000595 PA Part B Supplier - Clinic/Group Practice 1497739973
O20040220000039 PA Part B Supplier - Clinic/Group Practice 1508849738
O20040301000722 PA Part B Supplier - Clinic/Group Practice 1851374698
O20040116001002 PA Part B Supplier - Clinic/Group Practice 1457334336
O20041207000650 PA Part B Supplier - Clinic/Group Practice 1790768471
O20041130000438 PA Part B Supplier - Clinic/Group Practice 1154304483
O20040930000019 PA Part B Supplier - Clinic/Group Practice 1376526111
O20040604000167 PA Part B Supplier - Clinic/Group Practice 1295718039
O20040527000932 PA Part B Supplier - Clinic/Group Practice 1447233317
O20070217000029 PA Part A Provider - Hospital 1376526111
O20070201000116 PA Part A Provider - Hospital 1447233424
O20061221000235 PA Part A Provider - Hospital 1447233317
O20061102000351 PA Part A Provider - Hospital 1457334336
O20061016000275 PA Part A Provider - Skilled Nursing Facility 1295718039
O20061002000060 PA Part A Provider - Hospital 1497739973
O20061002000043 PA Part A Provider - Hospital 1790768471
O20050425000477 PA Part B Supplier - Clinic/Group Practice 1447233424

NPIs in this group 10

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 145

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (145) or whom Care Compare lists as members (34).

Sources for this page