Cooper Green Mercy Health Services Authority an Affiliate of Uab

A Medicare group practice based in Birmingham, AL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0840629473), with 191 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0840629473The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
AL
Enrollments
2
Group size
95 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20200402003238 AL Part B Supplier - Clinic/Group Practice 1366073108
O20200430001988 AL Part B Supplier - Pharmacy 1568081644

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 191

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (191) or whom Care Compare lists as members (95).

Sources for this page