Southwestern Recovery Center, LLC

A Medicare group practice based in Waverly, OH: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 5294095956), with 14 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5294095956The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
OH
Enrollments
1
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
6In 4 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20180129001817 OH Part B Supplier - Clinic/Group Practice 1295241933

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 14

Clinicians who reassign their Medicare benefits to this group (14) or whom Care Compare lists as members (6).

Sources for this page