NPIMap

Department of Military Affairs Commonwealth of Pennsylvania

A Medicare group practice based in Erie, PA: 12 NPIs enrolled under one PECOS associate control ID (PAC ID 1557320348), with 24 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1557320348The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
PA
Enrollments
2
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 7 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20041007000372 PA Part B Supplier - Clinic/Group Practice 1578672796
O20120919000056 PA Part B Supplier - Pharmacy 1104181189

NPIs in this group 12

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 24

Clinicians who reassign their Medicare benefits to this group (24) or whom Care Compare lists as members (5).

Sources for this page