NPIMap

Nucrown, LLC

A Medicare group practice based in Saint Louis, MO: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 1456256346), with 44 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1456256346The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
Enrolled in
IL, MO
Enrollments
4
Group size
22 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
18In 14 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040415000463 IL Part B Supplier - Clinic/Group Practice 1295737294
O20041025000051 MO Part B Supplier - Clinic/Group Practice 1295737294
O20100930031633 MO DME Supplier - Physician - Optometrist 1710045810
O20150428000453 MO DME Supplier - Physician - Optometrist 1730586629

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 44

Clinicians who reassign their Medicare benefits to this group (44) or whom Care Compare lists as members (22).

Sources for this page