Boone Memorial Hospital Inc

A Medicare group practice based in Madison, WV: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 3375433352), with 167 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3375433352The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
WV
Enrollments
9
Group size
78 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 2 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20061104000273 WV Part A Provider - Critical Access Hospital 1639135221
O20061104000274 WV Part A Provider - Critical Access Hospital 1871543322
O20051111000050 WV Part B Supplier - Clinic/Group Practice 1285686725
O20201102001732 WV Part B Supplier - Clinic/Group Practice 1871141366
O20200206000829 WV MDPP Supplier - in-Person MDPP Supplier 1639135221
O20230512002033 WV Part A Provider - Rural Health Clinic 1124617535
O20230526002081 WV Part A Provider - Rural Health Clinic 1407421431
O20090421000101 WV Part A Provider - Rural Health Clinic 1801039565
O20081203000623 WV Part A Provider - Rural Health Clinic 1578513032

NPIs in this group 8

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 167

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (167) or whom Care Compare lists as members (78).

Sources for this page