Mountain Spring Vascular LLC

A Medicare group practice based in Virginia Beach, VA: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 2062826316), with 35 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2062826316The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Podiatry, Part B Supplier - Clinic/Group Practice
Enrolled in
MD, VA
Enrollments
8
Group size
28 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
26In 14 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20210127001314 VA Part B Supplier - Clinic/Group Practice 1639770621
O20250625000635 VA DME Supplier - Physician - Podiatry 1730900119
O20250625000325 VA DME Supplier - Physician - Podiatry 1588467872
O20250625001205 VA DME Supplier - Physician - Podiatry 1831910215
O20250624004003 VA DME Supplier - Physician - Podiatry 1194540955
O20250311001992 MD Part B Supplier - Clinic/Group Practice 1639770621
O20251008000173 VA DME Supplier - Physician - Podiatry 1609679984
O20251021000351 MD DME Supplier - Physician - Podiatry 1285459040

NPIs in this group 7

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 35

Clinicians who reassign their Medicare benefits to this group (35) or whom Care Compare lists as members (28).

Sources for this page