NPIMap

Ivy Creek Specialty Care

A Medicare group practice based in Wetumpka, AL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2264844638), with 24 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2264844638The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
AL
Enrollments
1
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20201209002925 AL Part B Supplier - Clinic/Group Practice 1396342184

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 (5).

Sources for this page