Elderberry Health PLLC

A Medicare group practice based in Oneida, TN: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4486614302), with 2 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4486614302The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
TN
Enrollments
2
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20041014001206 TN Part B Supplier - Clinic/Group Practice 1619974581
O20180124000634 TN Part A Provider - Rural Health Clinic 1619974581

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 2

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).

Sources for this page