NPIMap

Dyersburg Family Walk-in Clinic

A Medicare group practice based in Dyersburg, TN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5991793879), with 48 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5991793879The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
TN
Enrollments
6
Group size
24 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
O20110909002675 TN Part A Provider - Rural Health Clinic 1174712780
O20040501000299 TN Part B Supplier - Clinic/Group Practice 1174712780
O20201001001725 TN Part A Provider - Rural Health Clinic 1174712780
O20190726000852 TN Part A Provider - Rural Health Clinic 1174712780
O20140702001740 TN Part A Provider - Rural Health Clinic 1174712780
O20140717001810 TN Part A Provider - Rural Health Clinic 1174712780

NPIs in this group 2

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 48

Clinicians who reassign their Medicare benefits to this group (48) or whom Care Compare lists as members (24).

Sources for this page