NPIMap

County of Edgecombe Office of Auditor

A Medicare group practice based in Tarboro, NC: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6204723497), with 5 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6204723497The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
NC
Enrollments
2
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 4 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040302001036 NC Part B Supplier - Clinic/Group Practice 1770610602
O20120228000021 NC Part B Supplier - Ambulance Service Supplier 1972685584

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 5

Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (2).

Sources for this page