NPIMap

State of Arkansas

A Medicare group practice based in Little Rock, AR: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 6507863958), with 37 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6507863958The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
AR
Enrollments
4
Group size
18 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 3 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20061027000494 AR Part A Provider - Skilled Nursing Facility 1417052895
O20080909000722 AR Part B Supplier - Clinic/Group Practice 1891808630
O20071207000576 AR Part A Provider - Hospital 1295726156
O20170508000583 AR Part A Provider - Skilled Nursing Facility 1689117756

NPIs in this group 4

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 37

Clinicians who reassign their Medicare benefits to this group (37) or whom Care Compare lists as members (18).

Sources for this page