NPIMap

Bulloch County Board of Health

A Medicare group practice based in Statesboro, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5193710481), with 12 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5193710481The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
GA
Enrollments
2
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040416000581 GA Part B Supplier - Clinic/Group Practice 1043243876
O20130729000286 GA Part B Supplier - Mass Immunization (Roster Biller Only) 1417985060

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 12

Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (4).

Sources for this page