Ira Davenport Memorial Hospital, Inc.

A Medicare group practice based in Bath, NY: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 6406743459), with 56 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6406743459The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Emergency Hospital (Reh), Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
NY
Enrollments
3
Group size
28 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040303000724 NY Part B Supplier - Clinic/Group Practice 1922192939
O20080904000355 NY Part A Provider - Skilled Nursing Facility 1922192939
O20241121002687 NY Part A Provider - Rural Emergency Hospital (Reh) 1306930318

NPIs in this group 8

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 56

Clinicians who reassign their Medicare benefits to this group (56) or whom Care Compare lists as members (28).

Sources for this page