NPIMap

County of Marin

A Medicare group practice based in San Rafael, CA: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 1153225065), with 34 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1153225065The 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
Enrolled in
CA
Enrollments
2
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 5 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20031121000810 CA Part B Supplier - Clinic/Group Practice 1912116252
O20120327000565 CA Part B Supplier - Ambulance Service Supplier 1386644797

NPIs in this group 8

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 34

Clinicians who reassign their Medicare benefits to this group (34) or whom Care Compare lists as members (19).

Sources for this page