Covenant House Inc

A Medicare group practice based in Philadelphia, PA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 3476591686), with 16 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3476591686The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
PA
Enrollments
5
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 1 place

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20111107000566 PA Part A Provider - Federally Qualified Health Center (FQHC) 1528392008
O20050419000796 PA Part B Supplier - Clinic/Group Practice 1659462679
O20200127000062 PA Part A Provider - Federally Qualified Health Center (FQHC) 1699190561
O20161130000041 PA Part A Provider - Federally Qualified Health Center (FQHC) 1659462679
O20231122001525 PA Part A Provider - Federally Qualified Health Center (FQHC) 1669177911

NPIs in this group 4

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 16

Clinicians who reassign their Medicare benefits to this group (16) or whom Care Compare lists as members (4).

Sources for this page