NPIMap

Pecan Valley MHMR Region

A Medicare group practice based in Granbury, TX: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4688627706), with 29 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4688627706The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
1
Group size
20 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
7In 6 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20050301000171 TX Part B Supplier - Clinic/Group Practice 1891915708

NPIs in this group 2

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 29

Clinicians who reassign their Medicare benefits to this group (28) or whom Care Compare lists as members (20).

Sources for this page