NPIMap

South Shore Child Association Incorporated

A Medicare group practice based in Freeport, NY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0648550822), with 13 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0648550822The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
NY
Enrollments
1
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
1In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20161205001117 NY Part B Supplier - Clinic/Group Practice 1023154507

NPIs in this group 2

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 13

Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (6).

Sources for this page