Indiana Spine Group, PC

A Medicare group practice based in Indianapolis, IN: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 4082502349), with 52 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4082502349The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Unknown Physician Specialty, Part B Supplier - Clinic/Group Practice
Enrolled in
IN
Enrollments
2
Group size
49 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
31In 28 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040308001261 IN Part B Supplier - Clinic/Group Practice 1609960046
O20100930029540 IN DME Supplier - Physician - Unknown Physician Specialty 1609960046

NPIs in this group 8

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 52

Clinicians who reassign their Medicare benefits to this group (52) or whom Care Compare lists as members (49).

Sources for this page