Trenton Medical Center Inc

A Medicare group practice based in Lake City, FL: 14 NPIs enrolled under one PECOS associate control ID (PAC ID 2365359387), with 130 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2365359387The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
FL
Enrollments
14
Group size
71 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
28In 13 places

Enrollment records 14

Enrollment IDStateProvider typeNPI
O20140827002789 FL Part A Provider - Federally Qualified Health Center (FQHC) 1588086060
O20140722001647 FL Part A Provider - Federally Qualified Health Center (FQHC) 1124432042
O20140311000709 FL Part A Provider - Federally Qualified Health Center (FQHC) 1124442355
O20130710000405 FL Part A Provider - Federally Qualified Health Center (FQHC) 1336399260
O20080103000628 FL Part A Provider - Federally Qualified Health Center (FQHC) 1508048596
O20020927000008 FL Part A Provider - Federally Qualified Health Center (FQHC) 1164642419
O20020819000009 FL Part A Provider - Federally Qualified Health Center (FQHC) 1801826268
O20050428000865 FL Part B Supplier - Clinic/Group Practice 1801826268
O20110920000542 FL Part A Provider - Federally Qualified Health Center (FQHC) 1740513928
O20090826000844 FL Part A Provider - Federally Qualified Health Center (FQHC) 1255577631
O20101029000200 FL Part A Provider - Federally Qualified Health Center (FQHC) 1912213000
O20231006002346 FL Part A Provider - Federally Qualified Health Center (FQHC) 1275220238
O20200106000032 FL Part A Provider - Federally Qualified Health Center (FQHC) 1972140358
O20221214003130 FL Part A Provider - Federally Qualified Health Center (FQHC) 1609599836

NPIs in this group 14

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 130

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Clinicians who reassign their Medicare benefits to this group (129) or whom Care Compare lists as members (71).

Sources for this page