NPIMap

County of Pitt Office of Auditor

A Medicare group practice based in Greenville, NC: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4486675626), with 8 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4486675626The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
NC
Enrollments
3
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20051215000115 NC Part B Supplier - Ambulance Service Supplier 1033155148
O20120820000357 NC Part B Supplier - Mass Immunization (Roster Biller Only) 1306904917
O20161004001847 NC Part B Supplier - Clinic/Group Practice 1053777821

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 8

Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (3).

Sources for this page