NPIMap

Legacy Vein Center PLLC

A Medicare group practice based in Kingsport, TN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2264727627), with 24 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2264727627The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - General Surgery, DME Supplier - Physician - Internal Medicine, Part B Supplier - Clinic/Group Practice
Enrolled in
TN, VA
Enrollments
4
Group size
16 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 8 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20160824000796 TN Part B Supplier - Clinic/Group Practice 1477972933
O20210630002716 TN DME Supplier - Physician - Internal Medicine 1477972933
O20210707002859 TN DME Supplier - Physician - General Surgery 1841865912
O20200515000961 VA Part B Supplier - Clinic/Group Practice 1477972933

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 24

Clinicians who reassign their Medicare benefits to this group (24) or whom Care Compare lists as members (16).

Sources for this page