NPIMap

Coffee Medical Group LLC

A Medicare group practice based in Manchester, TN: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 1850208794), with 50 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1850208794The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
TN
Enrollments
5
Group size
22 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
10In 5 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20061113000520 TN Part A Provider - Hospital 1013969179
O20031118000203 TN Part B Supplier - Clinic/Group Practice 1013969179
O20080205000119 TN Part A Provider - Hospital 1104995281
O20151210002085 TN Part A Provider - Rural Health Clinic 1043537046
O20160125000433 TN Part A Provider - Rural Health Clinic 1700192028

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 50

Clinicians who reassign their Medicare benefits to this group (50) or whom Care Compare lists as members (22).

Sources for this page