NPIMap

Dedicated Pennsylvania Holding LLC

A Medicare group practice based in Philadelphia, PA: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 4688935653), with 63 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4688935653The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
PA
Enrollments
1
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20180308000694 PA Part B Supplier - Clinic/Group Practice 1477053569

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 63

Clinicians who reassign their Medicare benefits to this group (63) or whom Care Compare lists as members (19).

Sources for this page