NPIMap

Southeast Urology Network PC

A Medicare group practice based in Memphis, TN: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3779501390), with 4 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3779501390The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Urology, Part B Supplier - Clinic/Group Practice
Enrolled in
MS, TN
Enrollments
3
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20051102000835 MS Part B Supplier - Clinic/Group Practice 1376699546
O20051229000310 TN Part B Supplier - Clinic/Group Practice 1184770356
O20100930090862 TN DME Supplier - Physician - Urology 1184770356

NPIs in this group 3

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 3 clinicians in this group

Clinicians 4

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

Sources for this page