NPIMap

Cass County Public Health Dept

A Medicare group practice based in Virginia, IL: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 5395745137), with 8 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5395745137The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part A Provider - Home Health Agency, Part A Provider - Hospice, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
IL
Enrollments
6
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 5 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20070202000246 IL Part B Supplier - Clinic/Group Practice 1164596375
O20071008000112 IL Part A Provider - Federally Qualified Health Center (FQHC) 1164596375
O20080807000045 IL Part A Provider - Home Health Agency 1104887801
O20111019000274 IL Part A Provider - Hospice 1891757118
O20140729002328 IL Part A Provider - Federally Qualified Health Center (FQHC) 1942439310
O20120323000243 IL Part B Supplier - Mass Immunization (Roster Biller Only) 1871555193

NPIs in this group 5

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 8

Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (4).

Sources for this page