Jericho Road Ministries, Inc.

A Medicare group practice based in Buffalo, NY: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 5597992933), with 52 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5597992933The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
NY
Enrollments
11
Group size
33 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 1 place

Enrollment records 11

Enrollment IDStateProvider typeNPI
O20131220000412 NY Part A Provider - Federally Qualified Health Center (FQHC) 1972944080
O20131211000108 NY Part A Provider - Federally Qualified Health Center (FQHC) 1619307022
O20150116000533 NY Part B Supplier - Clinic/Group Practice 1972944080
O20191118002188 NY Part B Supplier - Pharmacy 1548825482
O20220112000048 NY Part B Supplier - Pharmacy 1114682069
O20181023002193 NY Part A Provider - Federally Qualified Health Center (FQHC) 1952893091
O20210911000102 NY Part A Provider - Federally Qualified Health Center (FQHC) 1215502711
O20200511001426 NY Part A Provider - Federally Qualified Health Center (FQHC) 1205474681
O20220727002107 NY DME Supplier - Pharmacy 1548825482
O20220801002076 NY DME Supplier - Pharmacy 1114682069
O20251002003748 NY Part A Provider - Federally Qualified Health Center (FQHC) 1972944080

NPIs in this group 7

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 52

Clinicians who reassign their Medicare benefits to this group (52) or whom Care Compare lists as members (33).

Sources for this page