NPIMap

Bucktail Medical Center

A Medicare group practice based in Renovo, PA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6800852112), with 23 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6800852112The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
PA
Enrollments
4
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20041208000866 PA Part B Supplier - Clinic/Group Practice 1821083700
O20110120000117 PA Part A Provider - Critical Access Hospital 1982681102
O20110307000465 PA Part A Provider - Critical Access Hospital 1821083700
O20161026000209 PA Part B Supplier - Ambulance Service Supplier 1518944735

NPIs in this group 3

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 23

Clinicians who reassign their Medicare benefits to this group (23) or whom Care Compare lists as members (4).

Sources for this page