NPIMap

Ontario County

A Medicare group practice based in Canandaigua, NY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3779482252), with 21 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3779482252The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
NY
Enrollments
1
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
1In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040719000682 NY Part B Supplier - Clinic/Group Practice 1003802190

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 21

Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (10).

Sources for this page