NPIMap

Northeastern Center Inc

A Medicare group practice based in Kendallville, IN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6709795636), with 29 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6709795636The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
IN
Enrollments
2
Group size
24 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
23In 5 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040420000961 IN Part A Provider - Hospital 1689781346
O20040605000289 IN Part B Supplier - Clinic/Group Practice 1720140908

NPIs in this group 2

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 29

Clinicians who reassign their Medicare benefits to this group (29) or whom Care Compare lists as members (24).

Sources for this page