NPIMap

Ivy Creek of Butler LLC

A Medicare group practice based in Georgiana, AL: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4981840139), with 3 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4981840139The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
AL
Enrollments
1
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
1In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20130603000397 AL Part B Supplier - Clinic/Group Practice 1073958195

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 3

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).

Sources for this page