NPIMap

Tazwood Mental Health Center Inc

A Medicare group practice based in East Peoria, IL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1850291741), with 18 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1850291741The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
1
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 3 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040108000963 IL Part B Supplier - Clinic/Group Practice 1083671127

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 18

Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (6).

Sources for this page