State of Delaware

A Medicare group practice based in Smyrna, DE: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 6507756731), with 8 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6507756731The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
DE
Enrollments
5
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20100125000580 DE Part A Provider - Skilled Nursing Facility 1538123583
O20241016001309 DE Part B Supplier - Clinic/Group Practice 1013089895
O20231121000035 DE Part B Supplier - Independent Clinical Laboratory 1922170703
O20040319000575 DE Part B Supplier - Clinic/Group Practice 1104871920
O20070502000055 DE Part A Provider - Skilled Nursing Facility 1255489548

NPIs in this group 7

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 8

Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (3).

Sources for this page