NPIMap

Tioga County

A Medicare group practice based in Owego, NY: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 6709786916), with 15 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6709786916The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
NY
Enrollments
2
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20080109000539 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1730230871
O20040113000343 NY Part B Supplier - Clinic/Group Practice 1124099700

NPIs in this group 5

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 15

Clinicians who reassign their Medicare benefits to this group (15) or whom Care Compare lists as members (7).

Sources for this page