NPIMap

Human Service Center

A Medicare group practice based in Peoria, IL: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 6901896968), with 19 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6901896968The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
Enrolled in
IL
Enrollments
2
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20200114000348 IL Part B Supplier - Opioid Treatment Program (Otp) 1144549494
O20040513000449 IL Part B Supplier - Clinic/Group Practice 1881630689

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 19

Clinicians who reassign their Medicare benefits to this group (19) or whom Care Compare lists as members (4).

Sources for this page