NPIMap

Hartford Dispensary

A Medicare group practice based in Hartford, CT: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4789010984), with 51 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4789010984The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
Enrolled in
CT
Enrollments
2
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
22In 10 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20200206002731 CT Part B Supplier - Opioid Treatment Program (Otp) 1184794257
O20240729000909 CT Part B Supplier - Clinic/Group Practice 1104949973

NPIs in this group 3

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 51

Clinicians who reassign their Medicare benefits to this group (51) or whom Care Compare lists as members (11).

Sources for this page