Infectious Diseases PC

A Medicare group practice based in Saint Louis, MO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6305880956), with 10 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6305880956The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MO
Enrollments
1
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
10In 6 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20050614001062 MO Part B Supplier - Clinic/Group Practice 1720055452

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 (10).

Sources for this page