Medical Park Hospital LLC

A Medicare group practice based in Winston Salem, NC: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4880595958), with 573 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4880595958The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
NC
Enrollments
2
Group size
109 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040120000968 NC Part B Supplier - Clinic/Group Practice 1003867516
O20061218000378 NC Part A Provider - Hospital 1538111828

NPIs in this group 2

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 573

Page 1 of 6

Clinicians who reassign their Medicare benefits to this group (572) or whom Care Compare lists as members (109).

Sources for this page