NPIMap

Dothan Behavioral Medicine Clinic PC

A Medicare group practice based in Dothan, AL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6305833724), with 10 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6305833724The 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
AL, FL
Enrollments
3
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 4 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040428000481 AL Part B Supplier - Clinic/Group Practice 1336277540
O20201013003417 FL Part B Supplier - Clinic/Group Practice 1336277540
O20210326000882 AL Part B Supplier - Mass Immunization (Roster Biller Only) 1295166346

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 10

Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (9).

Sources for this page