NPIMap

Essex County Treasurer

A Medicare group practice based in Elizabethtown, NY: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 1658392600), with 25 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1658392600The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Home Health Agency, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
NY
Enrollments
4
Group size
16 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20051219000132 NY Part B Supplier - Clinic/Group Practice 1659485480
O20120220001113 NY Part A Provider - Home Health Agency 1689663155
O20200723002572 NY Part B Supplier - Ambulance Service Supplier 1215552948
O20140808001338 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1386774909

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 25

Clinicians who reassign their Medicare benefits to this group (25) or whom Care Compare lists as members (16).

Sources for this page