Fellowship Village Inc

A Medicare group practice based in Basking Ridge, NJ: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4880506310), with 33 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4880506310The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospice, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
NJ
Enrollments
4
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20031104000083 NJ Part B Supplier - Clinic/Group Practice 1659411437
O20260528004743 NJ Part B Supplier - Clinic/Group Practice 1295685139
O20161201001840 NJ Part A Provider - Hospice 1386191302
O20150303001869 NJ Part A Provider - Skilled Nursing Facility 1659411437

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

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
75 of 100Reported as group, on the record of 3 clinicians in this group

Clinicians 33

Clinicians who reassign their Medicare benefits to this group (33) or whom Care Compare lists as members (11).

Sources for this page