Eastern Shore Rural Health System Incorporated

A Medicare group practice based in Onley, VA: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 2668380106), with 52 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2668380106The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
VA
Enrollments
10
Group size
38 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 8 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20040122001049 VA Part B Supplier - Clinic/Group Practice 1043341613
O20021029000032 VA Part A Provider - Federally Qualified Health Center (FQHC) 1598895542
O20051122000025 VA Part A Provider - Federally Qualified Health Center (FQHC) 1396876975
O20051108000502 VA Part A Provider - Federally Qualified Health Center (FQHC) 1043341613
O20051121000530 VA Part A Provider - Federally Qualified Health Center (FQHC) 1194856765
O20051122000014 VA Part A Provider - Federally Qualified Health Center (FQHC) 1568592426
O20260123000513 VA Part B Supplier - Mass Immunization (Roster Biller Only) 1528775939
O20230418000926 VA Part A Provider - Federally Qualified Health Center (FQHC) 1649987058
O20250425001360 VA DME Supplier - Pharmacy 1174224604
O20250425001236 VA DME Supplier - Pharmacy 1528775939

NPIs in this group 8

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 52

Clinicians who reassign their Medicare benefits to this group (50) or whom Care Compare lists as members (38).

Sources for this page