NPIMap

Cayuga County

A Medicare group practice based in Auburn, NY: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 6204747157), with 21 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6204747157The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
NY
Enrollments
2
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20061206000174 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1043377484
O20040409000465 NY Part B Supplier - Clinic/Group Practice 1699708123

NPIs in this group 4

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 21

Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (19).

Sources for this page