Eastport Health Care, Inc

A Medicare group practice based in Eastport, ME: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3577592880), with 24 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3577592880The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
ME
Enrollments
4
Group size
12 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20050808000284 ME Part B Supplier - Clinic/Group Practice 1093752917
O20110324000512 ME Part A Provider - Federally Qualified Health Center (FQHC) 1093752917
O20230901001745 ME Part A Provider - Federally Qualified Health Center (FQHC) 1295020691
O20180503002570 ME MDPP Supplier - in-Person MDPP Supplier 1093752917

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 24

Clinicians who reassign their Medicare benefits to this group (24) or whom Care Compare lists as members (12).

Sources for this page