NPIMap

St Marys Physician Services LLC

A Medicare group practice based in Russellville, AR: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4981698032), with 137 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4981698032The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Multi-Specialty - Physician, Part B Supplier - Clinic/Group Practice
Enrolled in
AR
Enrollments
2
Group size
49 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 4 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20100930085447 AR DME Supplier - Multi-Specialty - Physician 1063626117
O20040609000759 AR Part B Supplier - Clinic/Group Practice 1124084991

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 137

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (137) or whom Care Compare lists as members (49).

Sources for this page