NPIMap

Primary Medical Group CSP

A Medicare group practice based in Ponce, PR: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4385556083), with 19 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4385556083The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
PR
Enrollments
1
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 3 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040626000264 PR Part B Supplier - Clinic/Group Practice 1174593545

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 19

Clinicians who reassign their Medicare benefits to this group (19) or whom Care Compare lists as members (4).

Sources for this page