University of South Alabama

A Medicare group practice based in Mobile, AL: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 3072425149), with 416 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3072425149The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
AL
Enrollments
5
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
43In 4 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20031209000406 AL Part A Provider - Hospital 1023055191
O20040115000773 AL Part B Supplier - Clinic/Group Practice 1992746838
O20060724000314 AL Part A Provider - Hospital 1063468072
O20251126000440 AL Part B Supplier - Independent Clinical Laboratory 1497859052
O20180910000622 AL DME Supplier - Pharmacy 1376032847

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 416

Page 1 of 5

Clinicians who reassign their Medicare benefits to this group (416) or whom Care Compare lists as members (4).

Sources for this page