NPIMap

Licking Valley Internal Medicine & Pediatrics PSC

A Medicare group practice based in Paris, KY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3678463379), with 4 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3678463379The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Also listed as
Licking Valley Internal Medicine and Pediatrics PSCName in Care Compare
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
KY
Enrollments
1
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 2 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040317000532 KY Part B Supplier - Clinic/Group Practice 1225136153

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 4

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).

Sources for this page