NPIMap

St. Joseph Primary Care, LLC

A Medicare group practice based in Kokomo, IN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5294700274), with 19 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5294700274The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
IN
Enrollments
1
Group size
12 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
O20040901000956 IN Part B Supplier - Clinic/Group Practice 1982736377

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 19

Clinicians who reassign their Medicare benefits to this group (19) or whom Care Compare lists as members (12).

Sources for this page