NPIMap

State of Alabama Dept of Mental Health & Mental Retardation

A Medicare group practice based in Tuscaloosa, AL: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 5698684090), with 31 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5698684090The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Also listed as
State of Alabama Dept of Mental Health and Mental RetardationName in Care Compare
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
AL
Enrollments
3
Group size
13 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 4 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20031205000194 AL Part B Supplier - Clinic/Group Practice 1619190998
O20101103000296 AL Part A Provider - Hospital 1053416347
O20101025000635 AL Part A Provider - Hospital 1033213624

NPIs in this group 6

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 31

Clinicians who reassign their Medicare benefits to this group (31) or whom Care Compare lists as members (13).

Sources for this page