NPIMap

Clinton County

A Medicare group practice based in Plattsburgh, NY: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 7618960600), with 18 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7618960600The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
NY
Enrollments
3
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040406000510 NY Part B Supplier - Clinic/Group Practice 1164465902
O20120118000211 NY Part A Provider - Skilled Nursing Facility 1992854103
O20120320000012 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1114979945

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 18

Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (11).

Sources for this page