NPIMap

Golden Age Inc

A Medicare group practice based in Greenwood, MS: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 0941294292), with 4 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0941294292The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Nursing Facility Intermediate Care, Part A Provider - Rural Health Clinic, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
MS
Enrollments
4
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040918000061 MS Part A Provider - Skilled Nursing Facility 1720073448
O20100930061803 MS DME Supplier - Nursing Facility Intermediate Care 1730175175
O20100901000933 MS Part A Provider - Rural Health Clinic 1558693671
O20100415000625 MS Part B Supplier - Clinic/Group Practice 1558693671

NPIs in this group 3

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 4

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (4).

Sources for this page