NPIMap

Intermed PA

A Medicare group practice based in South Portland, ME: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 5092605261), with 212 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5092605261The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Independently-Practicing Physical Therapist, DME Supplier - Multi-Specialty - Physician, DME Supplier - Physician - General Practice, DME Supplier - Physician - Physical and Rehabilitation, Part B Supplier - Ambulatory Surgical Center, Part
Enrolled in
ME
Enrollments
7
Group size
185 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 3 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20100930090971 ME DME Supplier - Physician - Physical and Rehabilitation 1609755701
O20090212000323 ME Part B Supplier - Ambulatory Surgical Center 1942388418
O20040319000548 ME Part B Supplier - Clinic/Group Practice 1467422733
O20150331001713 ME DME Supplier - Independently-Practicing Physical Therapist 1295607836
O20150328000286 ME DME Supplier - Multi-Specialty - Physician 1992194963
O20150331001603 ME DME Supplier - Multi-Specialty - Physician 1336538198
O20181121001531 ME DME Supplier - Physician - General Practice 1528535739

NPIs in this group 8

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 212

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (212) or whom Care Compare lists as members (185).

Sources for this page