NPIMap

Restoration Clinic

A Medicare group practice based in Decatur, TN: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 1456577451), with 13 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1456577451The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
TN
Enrollments
3
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20140729000468 TN Part B Supplier - Clinic/Group Practice 1205248796
O20180627003041 TN Part A Provider - Rural Health Clinic 1205248796
O20231227002371 TN Part A Provider - Rural Health Clinic 1174226757

NPIs in this group 3

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 13

Clinicians who reassign their Medicare benefits to this group (13) or whom Care Compare lists as members (6).

Sources for this page