Tri-County Family Medicine Program, Inc.

A Medicare group practice based in Dansville, NY: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4183699937), with 21 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4183699937The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
NY
Enrollments
9
Group size
18 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 6 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20040826000720 NY Part B Supplier - Clinic/Group Practice 1588649503
O20160913001725 NY Part A Provider - Federally Qualified Health Center (FQHC) 1588649503
O20160915001135 NY Part A Provider - Federally Qualified Health Center (FQHC) 1588649503
O20160915001380 NY Part A Provider - Federally Qualified Health Center (FQHC) 1588649503
O20160915000667 NY Part A Provider - Federally Qualified Health Center (FQHC) 1588649503
O20160915001481 NY Part A Provider - Federally Qualified Health Center (FQHC) 1588649503
O20220413001839 NY Part A Provider - Federally Qualified Health Center (FQHC) 1588649503
O20230222001683 NY Part B Supplier - Pharmacy 1245972504
O20230725000029 NY DME Supplier - Pharmacy 1245972504

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

Clinicians 21

Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (18).

Sources for this page