NPIMap

Madison Medical Center Stockhoff Memorial Nursing Home

A Medicare group practice based in Fredericktown, MO: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 1355255886), with 36 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1355255886The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
MO
Enrollments
4
Group size
22 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20031118000558 MO Part B Supplier - Clinic/Group Practice 1720163025
O20040805000502 MO Part A Provider - Rural Health Clinic 1467539031
O20080723000675 MO Part A Provider - Critical Access Hospital 1720163025
O20080728000501 MO Part A Provider - Critical Access Hospital 1316013139

NPIs in this group 4

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 36

Clinicians who reassign their Medicare benefits to this group (36) or whom Care Compare lists as members (22).

Sources for this page