NPIMap

Jefferson Medical Group

A Medicare group practice based in Brunswick, MO: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 6800894379), with 12 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6800894379The 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
MO
Enrollments
4
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20061116000198 MO Part B Supplier - Clinic/Group Practice 1215030713
O20110512000274 MO Part A Provider - Rural Health Clinic 1619276367
O20110512000437 MO Part A Provider - Rural Health Clinic 1760772743
O20210630001113 MO Part A Provider - Rural Health Clinic 1104432806

NPIs in this group 4

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 12

Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (10).

Sources for this page