SBH-Davenport LLC

A Medicare group practice based in Bettendorf, IA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1759702756), with 21 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1759702756The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
IA
Enrollments
2
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20201028001878 IA Part A Provider - Hospital 1831720556
O20210107001935 IA Part B Supplier - Clinic/Group Practice 1023817475

NPIs in this group 2

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 (11).

Sources for this page