Emily Program P C

A Medicare group practice based in Saint Paul, MN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5193623254), with 224 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5193623254The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MN, OH, WA
Enrollments
3
Group size
49 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
13In 10 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20031229000014 MN Part B Supplier - Clinic/Group Practice 1528165065
O20210604000498 OH Part B Supplier - Clinic/Group Practice 1528165065
O20110419000204 WA Part B Supplier - Clinic/Group Practice 1154696698

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 224

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (224) or whom Care Compare lists as members (49).

Sources for this page