NPIMap

Liberty Resources Inc

A Medicare group practice based in Syracuse, NY: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 4486703352), with 162 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4486703352The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
NY
Enrollments
3
Group size
82 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
19In 4 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20090526000025 NY Part B Supplier - Clinic/Group Practice 1225254881
O20231221002838 NY Part A Provider - Federally Qualified Health Center (FQHC) 1922789163
O20241025001125 NY Part A Provider - Federally Qualified Health Center (FQHC) 1700688827

NPIs in this group 6

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 162

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (161) or whom Care Compare lists as members (82).

Sources for this page