St Mary Mercy Hospital Professional

A Medicare group practice based in Livonia, MI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 2365521226), with 139 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2365521226The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MI
Enrollments
1
Group size
17 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
O20080502000426 MI Part B Supplier - Clinic/Group Practice 1528145554

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 139

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (139) or whom Care Compare lists as members (17).

Sources for this page