NPIMap

Southeast Missouri Health Network

A Medicare group practice based in New Madrid, MO: 12 NPIs enrolled under one PECOS associate control ID (PAC ID 6507818044), with 20 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6507818044The 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
Enrolled in
MO
Enrollments
9
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 6 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20050412000011 MO Part B Supplier - Clinic/Group Practice 1609095975
O20070301000227 MO Part A Provider - Federally Qualified Health Center (FQHC) 1710108766
O20100624000145 MO Part A Provider - Federally Qualified Health Center (FQHC) 1609095975
O20100625000422 MO Part A Provider - Federally Qualified Health Center (FQHC) 1194945154
O20111129000007 MO Part A Provider - Federally Qualified Health Center (FQHC) 1497035661
O20240725002838 MO Part A Provider - Federally Qualified Health Center (FQHC) 1790531119
O20191125000468 MO Part A Provider - Federally Qualified Health Center (FQHC) 1619513215
O20140625001733 MO Part A Provider - Federally Qualified Health Center (FQHC) 1649697566
O20170127001852 MO Part A Provider - Federally Qualified Health Center (FQHC) 1134340102

NPIs in this group 12

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 20

Clinicians who reassign their Medicare benefits to this group (20) or whom Care Compare lists as members (19).

Sources for this page