NPIMap

Promedica Central Corporation of Michigan

A Medicare group practice based in Adrian, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7012902265), with 137 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7012902265The 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
MI, OH
Enrollments
3
Group size
112 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
24In 11 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040416001163 MI Part B Supplier - Clinic/Group Practice 1588624696
O20190726001622 MI Part A Provider - Rural Health Clinic 1427609312
O20150921000599 OH Part B Supplier - Clinic/Group Practice 1588624696

NPIs in this group 2

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 137

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (137) or whom Care Compare lists as members (112).

Sources for this page