Podiatric Medical Associates PC

A Medicare group practice based in La Porte, IN: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 0941100283), with 3 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0941100283The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Podiatry, Part B Supplier - Clinic/Group Practice
Enrolled in
IN
Enrollments
4
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 3 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040112000205 IN Part B Supplier - Clinic/Group Practice 1134237639
O20160106000911 IN DME Supplier - Physician - Podiatry 1982728200
O20100930099933 IN DME Supplier - Physician - Podiatry 1134237639
O20100930074879 IN DME Supplier - Physician - Podiatry 1427172014

NPIs in this group 4

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 3

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).

Sources for this page