NPIMap

Commonwealth of Virginia Department of Behavioral Health and Southern

A Medicare group practice based in Danville, VA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3173502713), with 9 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3173502713The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
VA
Enrollments
2
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040716000396 VA Part B Supplier - Clinic/Group Practice 1386704898
O20101118000289 VA Part A Provider - Hospital 1679542674

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 9

Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (3).

Sources for this page