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
- 1052334372
- 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 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| 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 RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
County of Caswell
- State or Local Public Health Clinic/Center
- Yanceyville, NC
- NPI 1003949306
-
County of Caswell
- State or Local Public Health Clinic/Center
- Yanceyville, NC
- NPI 1194858498
-
County of Caswell
- Paramedic
- Yanceyville, NC
- NPI 1356378855
Practice locations
- Yanceyville, NC3
Clinicians 2
Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).
-
Kelly Lynn Cobb, FNP-BC
- Family Nurse Practitioner
- Yanceyville, NC
- NPI 1316926348
-
Vineetha Joelin, NP-C
- Family Nurse Practitioner
- Yanceyville, NC
- NPI 1578914982
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.