NPIMap

JTDM Family Practice LLC

A Medicare group practice based in Saint Marys, OH: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2163415837), with 62 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2163415837The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Orthopedic/Orthopedic Surgery, DME Supplier - Physician - Podiatry, Part B Supplier - Clinic/Group Practice
Enrolled in
OH
Enrollments
3
Group size
48 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
13In 7 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040407000863 OH Part B Supplier - Clinic/Group Practice 1184652539
O20190115001859 OH DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1932670023
O20190918001678 OH DME Supplier - Physician - Podiatry 1184652539

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 62

Clinicians who reassign their Medicare benefits to this group (62) or whom Care Compare lists as members (48).

Sources for this page