NPIMap

The Josselyn Center NFP

A Medicare group practice based in Waukegan, IL: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 0840289740), with 144 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0840289740The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
1
Group size
86 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 4 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20050525000069 IL Part B Supplier - Clinic/Group Practice 1073548640

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 144

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (144) or whom Care Compare lists as members (86).

Sources for this page