Coastal Orthopaedics & Sports Medicine Center

A Medicare group practice based in Port Saint Lucie, FL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5294728465), with 20 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5294728465The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Also listed as
Coastal Orthopaedics and Sports Medicine CenterName in Care Compare
Provider type
DME Supplier - Physician - Family Practice, DME Supplier - Physician - Orthopedic/Orthopedic Surgery, Part B Supplier - Clinic/Group Practice
Enrolled in
FL
Enrollments
3
Group size
16 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 3 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20100930074249 FL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1245291988
O20100930043970 FL DME Supplier - Physician - Family Practice 1417271578
O20040405000753 FL Part B Supplier - Clinic/Group Practice 1245291988

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 20

Clinicians who reassign their Medicare benefits to this group (20) or whom Care Compare lists as members (16).

Sources for this page