NPIMap

Ozark Family Medical Clinic LLC

A Medicare group practice based in Poplar Bluff, MO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6002263449), with 7 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6002263449The 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
MO
Enrollments
2
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20231107002778 MO Part A Provider - Rural Health Clinic 1124800073
O20231130002525 MO Part B Supplier - Clinic/Group Practice 1225810179

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 7

Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (7).

Sources for this page