NPIMap

Providence Medical Group

A Medicare group practice based in Centerville, OH: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 2860386349), with 51 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2860386349The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
OH
Enrollments
2
Group size
29 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
19In 11 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040215000006 OH Part B Supplier - Clinic/Group Practice 1972533149
O20041109000071 OH Part B Supplier - Independent Clinical Laboratory 1760658371

NPIs in this group 3

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 51

Clinicians who reassign their Medicare benefits to this group (51) or whom Care Compare lists as members (29).

Sources for this page