St Mark Village Inc

A Medicare group practice based in Palm Harbor, FL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7618035304), with 16 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7618035304The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services, Part A Provider - Skilled Nursing Facility
Enrolled in
FL
Enrollments
2
Group size
16 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20081024000253 FL Part A Provider - Skilled Nursing Facility 1821182544
O20180531000029 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1033619846

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 16

Clinicians who reassign their Medicare benefits to this group (0) or whom Care Compare lists as members (16).

Sources for this page