Advanced Surgical Technology, LLC

A Medicare group practice based in Centralia, IL: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3274857685), with 10 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3274857685The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
3
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 5 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20150113000768 IL Part B Supplier - Clinic/Group Practice 1497159024
O20230804002096 IL Part A Provider - Rural Health Clinic 1659058659
O20230816001125 IL Part A Provider - Rural Health Clinic 1831876838

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 10

Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (7).

Sources for this page