Macoupin County Public Health Department

A Medicare group practice based in Carlinville, IL: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 1557377850), with 21 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1557377850The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
7
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 3 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20120221000973 IL Part A Provider - Federally Qualified Health Center (FQHC) 1538444906
O20141112000630 IL Part A Provider - Federally Qualified Health Center (FQHC) 1861800526
O20221223000756 IL Part A Provider - Federally Qualified Health Center (FQHC) 1184351173
O20210105000238 IL Part A Provider - Federally Qualified Health Center (FQHC) 1720687841
O20201229001853 IL Part A Provider - Federally Qualified Health Center (FQHC) 1831798958
O20191105001065 IL Part B Supplier - Clinic/Group Practice 1578618203
O20060223000446 IL Part B Supplier - Clinic/Group Practice 1538444906

NPIs in this group 9

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 21

Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (2).

Sources for this page