Optum Behavioral Care of Delaware, Inc

A Medicare group practice based in Portland, ME: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 4587017363), with 24 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4587017363The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
DE, ME, NH
Enrollments
3
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 4 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20240129001039 DE Part B Supplier - Clinic/Group Practice 1326810086
O20240208002713 NH Part B Supplier - Clinic/Group Practice 1043083595
O20251013003845 ME Part B Supplier - Clinic/Group Practice 1124907951

NPIs in this group 5

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 24

Clinicians who reassign their Medicare benefits to this group (24) or whom Care Compare lists as members (9).

Sources for this page