Wellness Grove LLC

A Medicare group practice based in Canton, OH: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5092104109), with 44 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5092104109The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
OH
Enrollments
1
Group size
25 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20211111000586 OH Part B Supplier - Clinic/Group Practice 1043899859

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 44

Clinicians who reassign their Medicare benefits to this group (44) or whom Care Compare lists as members (25).

Sources for this page