Wake Forest Baptist Imaging LLC

A Medicare group practice based in Greensboro, NC: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3173681681), with 164 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3173681681The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Diagnostic Testing Facility (Idtf)
Enrolled in
CO, FL, IN, NC, NM, NY, TN, TX, WI
Enrollments
10
Group size
76 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 14 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20081027000587 NC Part B Supplier - Clinic/Group Practice 1972763357
O20251030004608 TN Part B Supplier - Clinic/Group Practice 1972763357
O20251106000262 FL Part B Supplier - Clinic/Group Practice 1972763357
O20250116000041 NC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1841049913
O20251223000694 IN Part B Supplier - Clinic/Group Practice 1972763357
O20251220000092 NM Part B Supplier - Clinic/Group Practice 1972763357
O20260202003596 CO Part B Supplier - Clinic/Group Practice 1972763357
O20260305000884 TX Part B Supplier - Clinic/Group Practice 1972763357
O20260226003713 WI Part B Supplier - Clinic/Group Practice 1700490232
O20251128000277 NY Part B Supplier - Clinic/Group Practice 1972763357

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 164

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (164) or whom Care Compare lists as members (76).

Sources for this page