Richmond County DSS

A Medicare group practice based in Rockingham, NC: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2264497759), with 3 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2264497759The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
NC
Enrollments
2
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20041123001175 NC Part B Supplier - Clinic/Group Practice 1144361726
O20140822001624 NC Part B Supplier - Mass Immunization (Roster Biller Only) 1588705776

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 3

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).

Sources for this page