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A Medicare group practice based in Kansas City, MO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3375453517), with 126 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3375453517The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
Enrolled in
MO
Enrollments
2
Group size
50 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 3 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20031118000461 MO Part B Supplier - Clinic/Group Practice 1841235298
O20200110000112 MO Part B Supplier - Opioid Treatment Program (Otp) 1659749414

NPIs in this group 2

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 126

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (126) or whom Care Compare lists as members (50).

Sources for this page