Madisonville Primary Care Group PLLC

A Medicare group practice based in Madisonville, TN: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6507037645), with 9 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6507037645The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
TN
Enrollments
4
Group size
8 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20110921000012 TN Part B Supplier - Clinic/Group Practice 1861780496
O20220927003883 TN Part A Provider - Rural Health Clinic 1861780496
O20220929002072 TN Part A Provider - Rural Health Clinic 1780304238
O20220927004013 TN Part A Provider - Rural Health Clinic 1326768870

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 9

Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (8).

Sources for this page