NPIMap

Commonwealth of Virginia State Board of Health

A Medicare group practice based in Bristol, VA: 116 NPIs enrolled under one PECOS associate control ID (PAC ID 0547174369), with 33 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0547174369The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only), Part B Supplier - Public Health/Welfare Agency
Enrolled in
DC, VA
Enrollments
10
Group size
13 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
127In 110 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20031117000414 VA Part B Supplier - Public Health/Welfare Agency 1295795078
O20040206000622 VA Part B Supplier - Clinic/Group Practice 1386686731
O20041209000538 DC Part B Supplier - Clinic/Group Practice 1275669277
O20100216000415 VA Part B Supplier - Mass Immunization (Roster Biller Only) 1487629374
O20111118000313 VA Part B Supplier - Public Health/Welfare Agency 1639284979
O20110509000563 VA Part B Supplier - Public Health/Welfare Agency 1083665020
O20110614000402 VA Part B Supplier - Public Health/Welfare Agency 1164536652
O20130530000084 VA Part B Supplier - Public Health/Welfare Agency 1184738692
O20120425000602 VA Part B Supplier - Public Health/Welfare Agency 1649385907
O20140521000762 VA Part B Supplier - Public Health/Welfare Agency 1306950753

NPIs in this group 116

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment
Other places (70)
  • Smithfield, VA1
  • New Castle, VA1
  • Staunton, VA1
  • Tappahannock, VA1
  • Vinton, VA1
  • Virginia Beach, VA1
  • Warm Springs, VA1
  • Warrenton, VA1
  • Warsaw, VA1
  • Washington, VA1
  • Waynesboro, VA1
  • Winchester, VA1
  • Woodbridge, VA1
  • King William, VA1
  • Front Royal, VA1
  • Gloucester, VA1
  • Goochland, VA1
  • Harrisonburg, VA1
  • Heathsville, VA1
  • Henrico, VA1
  • King & Queen Courthouseking &, VA1
  • King George, VA1
  • Lancaster, VA1
  • Lexington, VA1
  • Lunenburg, VA1
  • Luray, VA1
  • Madison, VA1
  • Manassas, VA1
  • Mathews, VA1
  • Monterey, VA1
  • Montross, VA1
  • Nassawadox, VA1
  • Alexandria, VA1
  • Gate City, VA1
  • Emporia, VA1
  • Dinwiddie, VA1
  • Dendron, VA1
  • Danville, VA1
  • Clintwood, VA1
  • Chatham, VA1
  • Chase City, VA1
  • Bedford, VA1
  • Ashland, VA1
  • Appomattox, VA1
  • Amherst, VA1
  • Wise, VA1
  • Halifax, VA1
  • Tazewell, VA1
  • Stuart, VA1
  • Stony Creek, VA1
  • Rustburg, VA1
  • Rocky Mount, VA1
  • Prince George, VA1
  • Petersburg, VA1
  • Milford, VA1
  • Martinsville, VA1
  • Marion, VA1
  • Lynchburg, VA1
  • Lebanon, VA1
  • Lawrenceville, VA1
  • Hopewell, VA1
  • Hampton, VA1
  • Grundy, VA1
  • Pulaski, VA1
  • Floyd, VA1
  • Woodstock, VA1
  • Pearisburg, VA1
  • Christiansburg, VA1
  • Suffolk, VA1
  • Radford, VA1

Clinicians 33

Clinicians who reassign their Medicare benefits to this group (33) or whom Care Compare lists as members (13).

Sources for this page