Red Canyon LLC

A Medicare group practice based in Frederick, MD: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 1052618352), with 18 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1052618352The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Physical/Occupational Therapy Group in Private Practice
Enrolled in
MD, WV
Enrollments
2
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 5 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20160331002359 MD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1952768673
O20210915001754 WV Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1841872405

NPIs in this group 7

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 18

Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (11).

Sources for this page