NPIMap

Missouri Delta Medical Center

A Medicare group practice based in Sikeston, MO: 19 NPIs enrolled under one PECOS associate control ID (PAC ID 1355252891), with 211 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1355252891The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Hospital, Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Hospital Department(S), Part B Supplier - Pharmacy
Enrolled in
MA, MO, NC
Enrollments
20
Group size
134 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
46In 12 places

Enrollment records 20

Enrollment IDStateProvider typeNPI
O20040408000048 MO Part A Provider - Rural Health Clinic 1871663583
O20030822000020 MO Part A Provider - Hospital 1831269539
O20040308001306 MO Part B Supplier - Clinic/Group Practice 1508967860
O20111117000188 MO Part A Provider - Hospital 1942370648
O20111117000342 MO Part A Provider - Hospital 1164592861
O20111115000269 MO DME Supplier - Hospital 1215240965
O20081110000109 MO Part A Provider - Rural Health Clinic 1174789549
O20100622000258 MO Part A Provider - Rural Health Clinic 1013236421
O20100617000860 MO Part A Provider - Rural Health Clinic 1790855401
O20100713000324 MO Part A Provider - Rural Health Clinic 1134430176
O20130517000536 MO Part A Provider - Rural Health Clinic 1568703130
O20171113002842 MO Part A Provider - Rural Health Clinic 1427572007
O20160708001380 MO Part A Provider - Rural Health Clinic 1609230507
O20140424001233 MO Part A Provider - Rural Health Clinic 1972944593
O20161111000456 MO Part A Provider - Rural Health Clinic 1821462284
O20251205002390 MO Part B Supplier - Pharmacy 1184217077
O20250814001732 MO Part A Provider - Rural Health Clinic 1083505838
O20250409002562 NC Part B Supplier - Hospital Department(S) 1508967860
O20250331002699 MA Part B Supplier - Clinic/Group Practice 1508967860
O20241118000193 MO Part A Provider - Rural Health Clinic 1760241939

NPIs in this group 19

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 211

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Clinicians who reassign their Medicare benefits to this group (209) or whom Care Compare lists as members (134).

Sources for this page