NPIMap

Medical Clinic LLC

A Medicare group practice based in Tabor, IA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 5395634216), with 9 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5395634216The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
IA
Enrollments
4
Group size
8 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20071003000602 IA Part B Supplier - Clinic/Group Practice 1124218706
O20100909001091 IA Part A Provider - Rural Health Clinic 1841263233
O20100910000422 IA Part A Provider - Rural Health Clinic 1972575595
O20101008000771 IA Part A Provider - Rural Health Clinic 1871566265

NPIs in this group 4

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 9

Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (8).

Sources for this page