NPIMap

Optum Behavioral Care of North Carolina PC

A Medicare group practice based in St Augustine, FL: 19 NPIs enrolled under one PECOS associate control ID (PAC ID 5092120030), with 270 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5092120030The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
AR, FL, KY, MD, MS, NC, SC, TN
Enrollments
9
Group size
175 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
51In 38 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20210224002078 NC Part B Supplier - Clinic/Group Practice 1629843933
O20240813003368 TN Part B Supplier - Clinic/Group Practice 1083480081
O20240401000110 FL Part B Supplier - Clinic/Group Practice 1033984448
O20240321002678 AR Part B Supplier - Clinic/Group Practice 1053298711
O20240328002673 KY Part B Supplier - Clinic/Group Practice 1689449910
O20240426003512 MD Part B Supplier - Clinic/Group Practice 1518732833
O20251023003481 MS Part B Supplier - Clinic/Group Practice 1861371718
O20251008002963 SC Part B Supplier - Clinic/Group Practice 1295614147
O20251010001123 NC Part B Supplier - Clinic/Group Practice 1841184306

NPIs in this group 19

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 270

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Clinicians who reassign their Medicare benefits to this group (270) or whom Care Compare lists as members (175).

Sources for this page