NPIMap

Medical Practices of Antietam, LLC

A Medicare group practice based in Hagerstown, MD: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 2567353865), with 286 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2567353865The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Orthopedic/Orthopedic Surgery, Part B Supplier - Clinic/Group Practice
Enrolled in
MD, PA
Enrollments
4
Group size
229 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
38In 8 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040324001019 MD Part B Supplier - Clinic/Group Practice 1710854963
O20220216001264 MD DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1144986233
O20220124000323 MD DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1437815529
O20210914002778 PA Part B Supplier - Clinic/Group Practice 1558430843

NPIs in this group 5

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 286

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (283) or whom Care Compare lists as members (229).

Sources for this page