Medallus & Vacharothone LTD

A Medicare group practice based in Fargo, ND: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3072871276), with 36 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3072871276The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Also listed as
Medallus and Vacharothone LTDName in Care Compare
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
ND, NV
Enrollments
2
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 5 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20171228001478 NV Part B Supplier - Clinic/Group Practice 1902329469
O20180213000429 ND Part B Supplier - Clinic/Group Practice 1710496310

NPIs in this group 2

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 36

Clinicians who reassign their Medicare benefits to this group (36) or whom Care Compare lists as members (11).

Sources for this page