NPIMap

Jackson Hospital and Clinic, Inc

A Medicare group practice based in Montgomery, AL: 67 NPIs enrolled under one PECOS associate control ID (PAC ID 0547254153), with 247 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0547254153The 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 - Mass Immunization (Roster Biller Only), Part B Supplier - Pharmacy
Enrolled in
AL
Enrollments
6
Group size
119 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
116In 12 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20040414000971 AL Part B Supplier - Clinic/Group Practice 1073264107
O20211223000004 AL Part B Supplier - Pharmacy 1467116137
O20210324000549 AL Part B Supplier - Mass Immunization (Roster Biller Only) 1376137984
O20210805001900 AL Part B Supplier - Pharmacy 1376137984
O20230130000163 AL Part B Supplier - Clinic/Group Practice 1215519418
O20081105000456 AL Part A Provider - Hospital 1043262488

NPIs in this group 67

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 247

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (247) or whom Care Compare lists as members (119).

Sources for this page