Formoso Pain Specialists PA

A Medicare group practice based in Jacksonville, FL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3072936772), with 3 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3072936772The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Interventional Pain Management, Part B Supplier - Clinic/Group Practice
Enrolled in
FL
Enrollments
2
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20200714002283 FL Part B Supplier - Clinic/Group Practice 1487270351
O20220317000485 FL DME Supplier - Physician - Interventional Pain Management 1578224135

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 3

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).

Sources for this page