Pam Physician Enterprise

A Medicare group practice based in San Antonio, TX: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1254628589), with 70 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1254628589The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
CO, DE, FL, KS, LA, MA, MO, NC, ND, TX, WI
Enrollments
11
Group size
34 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
47In 32 places

Enrollment records 11

Enrollment IDStateProvider typeNPI
O20220709000282 FL Part B Supplier - Clinic/Group Practice 1962856161
O20210310002188 LA Part B Supplier - Clinic/Group Practice 1962856161
O20201023000325 MO Part B Supplier - Clinic/Group Practice 1962856161
O20190221002661 DE Part B Supplier - Clinic/Group Practice 1962856161
O20210413000857 ND Part B Supplier - Clinic/Group Practice 1962856161
O20211026000974 NC Part B Supplier - Clinic/Group Practice 1962856161
O20160929001462 TX Part B Supplier - Clinic/Group Practice 1962856161
O20251028003898 KS Part B Supplier - Clinic/Group Practice 1962856161
O20241028003773 CO Part B Supplier - Clinic/Group Practice 1962856161
O20230209001192 MA Part B Supplier - Clinic/Group Practice 1962856161
O20240617000334 WI Part B Supplier - Clinic/Group Practice 1962856161

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 70

Clinicians who reassign their Medicare benefits to this group (70) or whom Care Compare lists as members (34).

Sources for this page