NPIMap

Conifer Park Inc

A Medicare group practice based in Troy, NY: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 2769470384), with 20 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2769470384The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
Enrolled in
NY
Enrollments
2
Group size
12 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 7 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040503001584 NY Part B Supplier - Clinic/Group Practice 1356396543
O20200819001466 NY Part B Supplier - Opioid Treatment Program (Otp) 1649225897

NPIs in this group 9

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 20

Clinicians who reassign their Medicare benefits to this group (20) or whom Care Compare lists as members (12).

Sources for this page