NPIMap

County of Jasper

A Medicare group practice based in Newton, IL: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 6901904796), with 7 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6901904796The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
IL
Enrollments
3
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20070601000074 IL Part B Supplier - Clinic/Group Practice 1073782579
O20080220000250 IL Part B Supplier - Ambulance Service Supplier 1205943347
O20120509000541 IL Part B Supplier - Mass Immunization (Roster Biller Only) 1992772149

NPIs in this group 6

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 7

Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (6).

Sources for this page