Lucas County Auditor

A Medicare group practice based in Toledo, OH: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4981685518), with 5 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4981685518The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
OH
Enrollments
2
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20090818000175 OH Part B Supplier - Ambulance Service Supplier 1861647315
O20040528000175 OH Part B Supplier - Clinic/Group Practice 1902898810

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 5

Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (3).

Sources for this page