County of Whiteside

A Medicare group practice based in Rock Falls, IL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6406850791), with 11 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6406850791The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
IL
Enrollments
3
Group size
3 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
O20061208000052 IL Part B Supplier - Mass Immunization (Roster Biller Only) 1699778373
O20251229000489 IL Part A Provider - Federally Qualified Health Center (FQHC) 1528008034
O20250806004021 IL Part B Supplier - Clinic/Group Practice 1699778373

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 11

Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (3).

Sources for this page