Passavant Memorial Area Hospital Association

A Medicare group practice based in Jacksonville, IL: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3173503281), with 47 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3173503281The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
2
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20210624003149 IL Part A Provider - Critical Access Hospital 1174580831
O20180508002390 IL Part B Supplier - Clinic/Group Practice 1760994040

NPIs in this group 3

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 47

Clinicians who reassign their Medicare benefits to this group (47) or whom Care Compare lists as members (9).

Sources for this page