NPIMap

County of Tarrant

A Medicare group practice based in Fort Worth, TX: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 1456315571), with 8 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1456315571The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
TX
Enrollments
3
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20041117000915 TX Part B Supplier - Clinic/Group Practice 1194783183
O20081023000723 TX Part B Supplier - Mass Immunization (Roster Biller Only) 1194783183
O20161202000377 TX Part B Supplier - Independent Clinical Laboratory 1477832483

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 8

Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (6).

Sources for this page