NPIMap

Christus Good Shepherd Medical Center

A Medicare group practice based in Longview, TX: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 3779565544), with 106 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3779565544The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
3
Group size
30 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
69In 4 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040604000400 TX Part B Supplier - Clinic/Group Practice 1760908404
O20090116000241 TX Part A Provider - Hospital 1124092036
O20090120000342 TX Part A Provider - Hospital 1124092036

NPIs in this group 5

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 106

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (106) or whom Care Compare lists as members (30).

Sources for this page