Mainstreet and Kidsstreet of North Carolina PLLC

A Medicare group practice based in Liberty, NC: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 6901290238), with 114 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6901290238The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Family Practice, DME Supplier - Physician - General Practice, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
NC
Enrollments
10
Group size
76 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 8 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20220302000414 NC Part B Supplier - Clinic/Group Practice 1144803040
O20220706001220 NC DME Supplier - Physician - General Practice 1144803040
O20251110001282 NC Part A Provider - Rural Health Clinic 1750177507
O20251114001402 NC DME Supplier - Physician - Family Practice 1538040951
O20251014002318 NC Part A Provider - Rural Health Clinic 1184410938
O20230919004012 NC DME Supplier - Physician - Family Practice 1699482323
O20230920000425 NC DME Supplier - Physician - Family Practice 1700593126
O20260217003383 NC Part A Provider - Rural Health Clinic 1740076504
O20260323000812 NC DME Supplier - Physician - Family Practice 1043170558
O20251204001452 NC Part A Provider - Rural Health Clinic 1689460438

NPIs in this group 9

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 114

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Clinicians who reassign their Medicare benefits to this group (114) or whom Care Compare lists as members (76).

Sources for this page