NPIMap

Prince William County Community Services Board

A Medicare group practice based in Woodbridge, VA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7113912973), with 137 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7113912973The 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
Enrolled in
VA
Enrollments
2
Group size
57 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
24In 9 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040420000249 VA Part B Supplier - Clinic/Group Practice 1053402800
O20110803000641 VA Part B Supplier - Ambulance Service Supplier 1235437385

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 (57).

Sources for this page