Mid Coast Medical Center Crockett Inc

A Medicare group practice based in Crockett, TX: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3173884152), with 7 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3173884152The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
4
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20180516001255 TX Part A Provider - Rural Health Clinic 1003303983
O20180515000451 TX Part A Provider - Critical Access Hospital 1114435260
O20180316002045 TX Part B Supplier - Clinic/Group Practice 1487155990
O20180308001447 TX Part A Provider - Critical Access Hospital 1114435260

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 7

Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (7).

Sources for this page