Boston Public Health Commission

A Medicare group practice based in Boston, MA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 2365571650), with 6 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2365571650The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
MA
Enrollments
3
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
23In 11 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20100525000617 MA Part B Supplier - Ambulance Service Supplier 1124342282
O20130920000096 MA Part B Supplier - Clinic/Group Practice 1063431492
O20201218001824 MA Part B Supplier - Mass Immunization (Roster Biller Only) 1124342282

NPIs in this group 4

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 6

Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (4).

Sources for this page