NPIMap

Prince George's County Health Department

A Medicare group practice based in Cheverly, MD: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 0547542243), with 7 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0547542243The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
DC, MD
Enrollments
3
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 9 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20170112001236 DC Part B Supplier - Clinic/Group Practice 1366711947
O20240828002349 MD MDPP Supplier - in-Person MDPP Supplier 1366057523
O20240905001215 DC MDPP Supplier - in-Person MDPP Supplier 1366057523

NPIs in this group 5

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 7

Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (2).

Sources for this page