St Clair County Community Mental Health Authority

A Medicare group practice based in Marine City, MI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 7416861984), with 93 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7416861984The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MI
Enrollments
4
Group size
54 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 3 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20031118000783 MI Part B Supplier - Clinic/Group Practice 1689783672
O20040209000604 MI Part B Supplier - Clinic/Group Practice 1689783672
O20040901000060 MI Part B Supplier - Clinic/Group Practice 1689783672
O20040831000305 MI Part B Supplier - Clinic/Group Practice 1689783672

NPIs in this group 3

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 93

Clinicians who reassign their Medicare benefits to this group (93) or whom Care Compare lists as members (54).

Sources for this page