NPIMap

County of Duplin

A Medicare group practice based in Kenansville, NC: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1456341536), with 4 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1456341536The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
NC
Enrollments
2
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040512001545 NC Part B Supplier - Clinic/Group Practice 1235198177
O20100324001114 NC Part B Supplier - Ambulance Service Supplier 1508919069

NPIs in this group 2

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 4

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (4).

Sources for this page