NPIMap

Delta Medical Foundation

A Medicare group practice based in Clarksdale, MS: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 2163777046), with 9 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2163777046The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
MS
Enrollments
3
Group size
8 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20180717000298 MS Part A Provider - Rural Health Clinic 1508363060
O20180720000274 MS Part A Provider - Rural Health Clinic 1720585490
O20180618001135 MS Part B Supplier - Clinic/Group Practice 1508363060

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 9

Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (8).

Sources for this page