NPIMap

Kentucky Mso LLC

A Medicare group practice based in Georgetown, KY: 12 NPIs enrolled under one PECOS associate control ID (PAC ID 0749450633), with 104 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0749450633The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
KY
Enrollments
2
Group size
53 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
37In 10 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20110901000380 KY Part B Supplier - Clinic/Group Practice 1164867883
O20240403001484 KY Part A Provider - Rural Health Clinic 1922860758

NPIs in this group 12

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 104

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (104) or whom Care Compare lists as members (53).

Sources for this page