City of Genoa

A Medicare group practice based in Genoa, NE: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 5193702777), with 12 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5193702777The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
NE
Enrollments
5
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 2 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20040701000688 NE Part B Supplier - Ambulance Service Supplier 1487621561
O20070302000039 NE Part A Provider - Critical Access Hospital 1649228511
O20040901001124 NE Part B Supplier - Clinic/Group Practice 1104859206
O20071108000005 NE Part A Provider - Critical Access Hospital 1649228511
O20171023002157 NE Part A Provider - Rural Health Clinic 1720505522

NPIs in this group 5

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 12

Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (5).

Sources for this page