Temple University of the Commonwealth System of Higher Education

A Medicare group practice based in Philadelphia, PA: 74 NPIs enrolled under one PECOS associate control ID (PAC ID 2961314299), with 29 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2961314299The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Oral Surgery - Dentist, Part B Supplier - Clinic/Group Practice
Enrolled in
PA
Enrollments
4
Group size
12 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040219000333 PA Part B Supplier - Clinic/Group Practice 1265446983
O20241121003294 PA Part B Supplier - Clinic/Group Practice 1912687187
O20191015002666 PA DME Supplier - Oral Surgery - Dentist 1285414391
O20211019001645 PA Part B Supplier - Clinic/Group Practice 1235701392

NPIs in this group 74

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 29

Clinicians who reassign their Medicare benefits to this group (29) or whom Care Compare lists as members (12).

Sources for this page