Children'S Service Center of Wyoming Valley Inc

A Medicare group practice based in Wilkes Barre, PA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 1052567617), with 51 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1052567617The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
PA
Enrollments
3
Group size
32 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 3 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20170609001473 PA Part B Supplier - Clinic/Group Practice 1700861242
O20260319000499 PA Part A Provider - Federally Qualified Health Center (FQHC) 1689527392
O20250723001645 PA Part A Provider - Federally Qualified Health Center (FQHC) 1710617857

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 51

Clinicians who reassign their Medicare benefits to this group (51) or whom Care Compare lists as members (32).

Sources for this page