NPIMap

County of Niagara

A Medicare group practice based in Lockport, NY: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 4587640446), with 22 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4587640446The 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
Enrolled in
NY
Enrollments
2
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040802001606 NY Part B Supplier - Clinic/Group Practice 1891832879
O20241219002762 NY Part B Supplier - Ambulance Service Supplier 1891566725

NPIs in this group 4

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 22

Clinicians who reassign their Medicare benefits to this group (22) or whom Care Compare lists as members (5).

Sources for this page