Charles Evans Center, Inc.

A Medicare group practice based in Bethpage, NY: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 1759695992), with 66 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1759695992The 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
NY
Enrollments
5
Group size
17 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
7In 4 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20160427000454 NY Part B Supplier - Clinic/Group Practice 1972982007
O20150803000284 NY Part A Provider - Federally Qualified Health Center (FQHC) 1972982007
O20170511001669 NY Part A Provider - Federally Qualified Health Center (FQHC) 1598299356
O20200316001887 NY Part A Provider - Federally Qualified Health Center (FQHC) 1972982007
O20250611000082 NY Part A Provider - Federally Qualified Health Center (FQHC) 1770142366

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 66

Clinicians who reassign their Medicare benefits to this group (66) or whom Care Compare lists as members (17).

Sources for this page