Tri State Clinic, Inc.
A Medicare group practice based in Grundy, VA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6709850993), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6709850993
- Provider type
- Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- VA
- Enrollments
- 2
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050223000511 | VA | Part B Supplier - Clinic/Group Practice | 1518083971 |
| O20080505000220 | VA | Part A Provider - Rural Health Clinic | 1124097795 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Tri State Clinic, Inc.
dba Tri State Rural Health Clinic
- Rural Health Clinic/Center
- Grundy, VA
- NPI 1124097795
-
Tri State Clinic, Inc.
dba Tri State Rural Health Clinic
- Internal Medicine Physician
- Grundy, VA
- NPI 1518083971
Practice locations
- Grundy, VA2
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).
-
Dinkar N Patel, M.D.
- Internal Medicine Physician
- Grundy, VA
- NPI 1831168004
-
Haresh J Patel, M.D.
- Internal Medicine Physician
- Grundy, VA
- NPI 1245209402
-
Jashubhai G Patel, MD
- Internal Medicine Physician
- Grundy, VA
- NPI 1922049212
-
Craig Dwayne Viers
- Family Nurse Practitioner
- Grundy, VA
- NPI 1316769631
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.