NPIMap

Premise Health of Illinois Medical PC

A Medicare group practice based in Mount Vernon, IL: 10 NPIs enrolled under one PECOS associate control ID (PAC ID 3971764762), with 75 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3971764762The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
1
Group size
26 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
10In 10 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20120423000619 IL Part B Supplier - Clinic/Group Practice 1427366921

NPIs in this group 10

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 75

Clinicians who reassign their Medicare benefits to this group (75) or whom Care Compare lists as members (26).

Sources for this page