NPIMap

Northeast Mental Health-Mental Retardation Commission

A Medicare group practice based in Tupelo, MS: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 5193611747), with 16 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5193611747The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MS
Enrollments
1
Group size
10 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
O20040223000473 MS Part B Supplier - Clinic/Group Practice 1548413628

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 16

Clinicians who reassign their Medicare benefits to this group (16) or whom Care Compare lists as members (10).

Sources for this page