NPIMap

Upper Mattaponi Indian Tribe

A Medicare group practice based in Aylett, VA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4880091446), with 7 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4880091446The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
TX
Enrollments
2
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20210923002671 TX Part B Supplier - Clinic/Group Practice 1750969168
O20250827000581 TX Part B Supplier - Pharmacy 1144077470

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 7

Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (5).

Sources for this page