Northeast Florida Health Services, Inc

A Medicare group practice based in Deland, FL: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 0547249518), with 25 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0547249518The 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
FL
Enrollments
5
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 4 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20100901000543 FL Part A Provider - Federally Qualified Health Center (FQHC) 1992792311
O20040819000233 FL Part B Supplier - Clinic/Group Practice 1992792311
O20130814000255 FL Part A Provider - Federally Qualified Health Center (FQHC) 1467907626
O20170621002498 FL Part A Provider - Federally Qualified Health Center (FQHC) 1396282208
O20200504000081 FL Part A Provider - Federally Qualified Health Center (FQHC) 1427605534

NPIs in this group 4

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 25

Clinicians who reassign their Medicare benefits to this group (25) or whom Care Compare lists as members (9).

Sources for this page