Carelon Medical Partners of Arizona PC

A Medicare group practice based in Washington, DC: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6406010552), with 85 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6406010552The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
AZ, CT, DC, IA, TN, TX
Enrollments
6
Group size
15 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 7 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20120621000233 AZ Part B Supplier - Clinic/Group Practice 1972879773
O20181120000064 DC Part B Supplier - Clinic/Group Practice 1730697483
O20181220002475 IA Part B Supplier - Clinic/Group Practice 1073987178
O20220729001657 TN Part B Supplier - Clinic/Group Practice 1730697483
O20220824000466 CT Part B Supplier - Clinic/Group Practice 1730697483
O20220816003733 TX Part B Supplier - Clinic/Group Practice 1730697483

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 85

Clinicians who reassign their Medicare benefits to this group (85) or whom Care Compare lists as members (15).

Sources for this page