Autumn Treatment Center LLC

A Medicare group practice based in Springfield, OH: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6002204344), with 32 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6002204344The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
OH
Enrollments
1
Group size
15 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 2 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20211019002513 OH Part B Supplier - Clinic/Group Practice 1225601826

NPIs in this group 3

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 32

Clinicians who reassign their Medicare benefits to this group (30) or whom Care Compare lists as members (15).

Sources for this page