NPIMap

Premier Medical Group, LLC

A Medicare group practice based in Bloomington, IL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5991989477), with 11 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5991989477The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Urology, Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
2
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20110407000129 IL Part B Supplier - Clinic/Group Practice 1942501978
O20110714000207 IL DME Supplier - Physician - Urology 1427357227

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 11

Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (10).

Sources for this page