NPIMap

Herkimer County

A Medicare group practice based in Herkimer, NY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4284613779), with 13 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4284613779The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
NY
Enrollments
2
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20071108000118 NY Part B Supplier - Clinic/Group Practice 1720174436
O20150504000018 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1790129682

NPIs in this group 2

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 13

Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (11).

Sources for this page