The Robert Young Center for Community Mental Health

A Medicare group practice based in Moline, IL: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 4587600150), with 75 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4587600150The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Community Mental Health Center, Part B Supplier - Clinic/Group Practice
Enrolled in
IA, IL
Enrollments
3
Group size
54 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
29In 15 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20050705000917 IL Part A Provider - Community Mental Health Center 1376909309
O20211208003044 IA Part B Supplier - Clinic/Group Practice 1972272516
O20220303002245 IL Part B Supplier - Clinic/Group Practice 1710276399

NPIs in this group 8

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 75

Clinicians who reassign their Medicare benefits to this group (75) or whom Care Compare lists as members (54).

Sources for this page