Watauga Medical Center Inc

A Medicare group practice based in Boone, NC: 11 NPIs enrolled under one PECOS associate control ID (PAC ID 2668377474), with 186 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2668377474The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
NC, NY
Enrollments
8
Group size
95 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
17In 7 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20220411000959 NC Part B Supplier - Clinic/Group Practice 1811658081
O20060220000225 NC Part B Supplier - Clinic/Group Practice 1407921802
O20031204000856 NC Part A Provider - Hospital 1205859766
O20040210000805 NC Part B Supplier - Clinic/Group Practice 1528134194
O20120210000154 NC Part B Supplier - Clinic/Group Practice 1205859766
O20260206000262 NC Part B Supplier - Ambulance Service Supplier 1255120184
O20250411001791 NC Part B Supplier - Clinic/Group Practice 1972308930
O20250528001490 NY Part B Supplier - Clinic/Group Practice 1861031544

NPIs in this group 11

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 186

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (184) or whom Care Compare lists as members (95).

Sources for this page