County of Caswell

A Medicare group practice based in Yanceyville, NC: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 1052334372), with 2 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1052334372The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
NC
Enrollments
3
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20080924000402 NC Part B Supplier - Clinic/Group Practice 1194858498
O20070510000206 NC Part B Supplier - Ambulance Service Supplier 1356378855
O20090508000342 NC Part B Supplier - Mass Immunization (Roster Biller Only) 1003949306

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 2

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

Sources for this page