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
6709850993The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
VA
Enrollments
2
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
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 Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 4

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).

Sources for this page