Walnut Street Community Health Center, Inc.

A Medicare group practice based in Hagerstown, MD: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6305757402), with 23 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6305757402The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
MD
Enrollments
3
Group size
18 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20030922000032 MD Part A Provider - Federally Qualified Health Center (FQHC) 1366425266
O20040614001534 MD Part B Supplier - Clinic/Group Practice 1366425266
O20230428000460 MD Part B Supplier - Mass Immunization (Roster Biller Only) 1871234294

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 23

Clinicians who reassign their Medicare benefits to this group (23) or whom Care Compare lists as members (18).

Sources for this page