NPIMap

State of Maine

A Medicare group practice based in Augusta, ME: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 7517875131), with 99 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7517875131The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
ME
Enrollments
3
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20021017000008 ME Part A Provider - Hospital 1699776146
O20040610001611 ME Part B Supplier - Clinic/Group Practice 1699776146
O20190430003073 ME Part A Provider - Hospital 1053319566

NPIs in this group 4

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 99

Clinicians who reassign their Medicare benefits to this group (99) or whom Care Compare lists as members (19).

Sources for this page