NPIMap

Jefferson City Medical Group PC

A Medicare group practice based in Jefferson City, MO: 10 NPIs enrolled under one PECOS associate control ID (PAC ID 1850371089), with 153 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1850371089The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Family Practice, DME Supplier - Physician - Orthopedic/Orthopedic Surgery, DME Supplier - Physician - Podiatry, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
MO
Enrollments
9
Group size
117 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
34In 10 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20100930008255 MO DME Supplier - Physician - Podiatry 1871549345
O20190712001534 MO Part B Supplier - Independent Clinical Laboratory 1811292105
O20130626000248 MO DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1194880708
O20241226002639 MO DME Supplier - Physician - Family Practice 1649099714
O20241226001080 MO DME Supplier - Physician - Family Practice 1104645274
O20040908000924 MO Part B Supplier - Clinic/Group Practice 1336189398
O20040901000004 MO Part B Supplier - Clinic/Group Practice 1972668903
O20060620000040 MO Part B Supplier - Clinic/Group Practice 1871549345
O20050719000612 MO Part B Supplier - Clinic/Group Practice 1194880708

NPIs in this group 10

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 153

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Clinicians who reassign their Medicare benefits to this group (153) or whom Care Compare lists as members (117).

Sources for this page