Active Life Health of Columbia LLC

A Medicare group practice based in Columbia, SC: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3577973064), with 10 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3577973064The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - General Practice, Part B Supplier - Clinic/Group Practice
Enrolled in
SC
Enrollments
2
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20210422000956 SC DME Supplier - Physician - General Practice 1851990121
O20201112001583 SC Part B Supplier - Clinic/Group Practice 1104425529

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

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
75 of 100Reported as group, on the record of 2 clinicians in this group

Clinicians 10

Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (6).

Sources for this page