St Vincents Ambulatory Healthcare Network LLC

A Medicare group practice based in Hoover, AL: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 1355608456), with 76 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1355608456The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Diagnostic Testing Facility (Idtf)
Enrolled in
AL
Enrollments
4
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20171128001387 AL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1588190441
O20180626000597 AL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1033646823
O20180628002418 AL Part B Supplier - Clinic/Group Practice 1891212494
O20201210003076 AL MDPP Supplier - in-Person MDPP Supplier 1982121513

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 76

Clinicians who reassign their Medicare benefits to this group (76) or whom Care Compare lists as members (9).

Sources for this page