Upmc Chautauqua at Wca

A Medicare group practice based in Jamestown, NY: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 4385630342), with 36 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4385630342The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
NY
Enrollments
4
Group size
26 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
17In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20111109000427 NY Part A Provider - Hospital 1063498889
O20040423000846 NY Part B Supplier - Clinic/Group Practice 1295033298
O20071113000521 NY Part A Provider - Hospital 1770573222
O20181026000931 NY MDPP Supplier - in-Person MDPP Supplier 1770573222

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 36

Clinicians who reassign their Medicare benefits to this group (36) or whom Care Compare lists as members (26).

Sources for this page