NPIMap

Etmc Physician Group, Inc.

A Medicare group practice based in Tyler, TX: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4486915600), with 647 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4486915600The 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
TX
Enrollments
3
Group size
375 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
76In 22 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20180305002106 TX Part B Supplier - Clinic/Group Practice 1609382662
O20210910000248 TX Part A Provider - Rural Health Clinic 1235706581
O20210909003136 TX Part A Provider - Rural Health Clinic 1689241945

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 647

Page 1 of 7

Clinicians who reassign their Medicare benefits to this group (645) or whom Care Compare lists as members (375).

Sources for this page