Phoenix Emergency Medicine of Broward LLC

A Medicare group practice based in Fort Lauderdale, FL: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 5991793002), with 212 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5991793002The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
FL
Enrollments
1
Group size
69 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 3 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040505001132 FL Part B Supplier - Clinic/Group Practice 1871542969

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 212

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (211) or whom Care Compare lists as members (69).

Sources for this page