Clemson University

A Medicare group practice based in Clemson, SC: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 1850393786), with 17 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1850393786The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
SC
Enrollments
3
Group size
8 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20070206000594 SC Part B Supplier - Ambulance Service Supplier 1902985484
O20211015002755 SC Part A Provider - Rural Health Clinic 1568345445
O20121206000375 SC Part B Supplier - Clinic/Group Practice 1093990707

NPIs in this group 3

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 17

Clinicians who reassign their Medicare benefits to this group (17) or whom Care Compare lists as members (8).

Sources for this page