Comptroller of Maryland Central Payroll Bureau

A Medicare group practice based in Salisbury, MD: 22 NPIs enrolled under one PECOS associate control ID (PAC ID 7416859327), with 151 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7416859327The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - End-Stage Renal Disease Facility (ESRD), Part A Provider - Hospital, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
DC, MD
Enrollments
13
Group size
25 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
18In 9 places

Enrollment records 13

Enrollment IDStateProvider typeNPI
O20090812000676 DC Part B Supplier - Clinic/Group Practice 1902074404
O20081008000739 MD Part B Supplier - Clinic/Group Practice 1871609545
O20040122000210 MD Part B Supplier - Clinic/Group Practice 1841281680
O20060105000689 MD Part A Provider - Hospital 1235110768
O20060105000488 MD Part A Provider - Hospital 1962493403
O20060105000525 MD Part A Provider - Hospital 1730179961
O20060106000061 MD Part A Provider - Skilled Nursing Facility 1871577064
O20060105000569 MD Part A Provider - Hospital 1841281680
O20060105000354 MD Part A Provider - Hospital 1740275106
O20060105000195 MD Part A Provider - Hospital 1518957141
O20060105000627 MD Part A Provider - Skilled Nursing Facility 1154302693
O20120404000060 MD Part A Provider - End-Stage Renal Disease Facility (ESRD) 1295726594
O20230609000664 MD Part A Provider - Skilled Nursing Facility 1356032734

NPIs in this group 22

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 151

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Clinicians who reassign their Medicare benefits to this group (150) or whom Care Compare lists as members (25).

Sources for this page