NPIMap

The Petersburg Medical Center

A Medicare group practice based in Petersburg, AK: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 5395730626), with 21 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5395730626The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Home Health Agency, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
AK
Enrollments
5
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
5In 1 place

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20040416000917 AK Part B Supplier - Clinic/Group Practice 1437122843
O20060117001187 AK Part A Provider - Home Health Agency 1790844033
O20061104000713 AK Part A Provider - Critical Access Hospital 1437122843
O20060302000434 AK Part A Provider - Skilled Nursing Facility 1104984954
O20070914000394 AK Part A Provider - Critical Access Hospital 1790845204

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 21

Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (7).

Sources for this page