Delaware County

A Medicare group practice based in Delhi, NY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1254327380), with 13 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1254327380The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
NY
Enrollments
2
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040422001601 NY Part B Supplier - Clinic/Group Practice 1740375385
O20211005000399 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1154689495

NPIs in this group 2

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 13

Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (9).

Sources for this page