NPIMap

County of Macomb

A Medicare group practice based in Clinton Township, MI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4880581404), with 194 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4880581404The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
MI
Enrollments
3
Group size
81 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
26In 11 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040301000018 MI Part B Supplier - Clinic/Group Practice 1942532197
O20040308000888 MI Part B Supplier - Clinic/Group Practice 1942532197
O20120807000475 MI Part B Supplier - Mass Immunization (Roster Biller Only) 1760462253

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 194

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (193) or whom Care Compare lists as members (81).

Sources for this page