NPIMap

County of Wake

A Medicare group practice based in Raleigh, NC: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6305759952), with 53 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6305759952The 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
21 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
37In 12 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040727000263 NC Part B Supplier - Ambulance Service Supplier 1922098029
O20031110000389 NC Part B Supplier - Clinic/Group Practice 1295761617

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 53

Clinicians who reassign their Medicare benefits to this group (52) or whom Care Compare lists as members (21).

Sources for this page