Beacon Christian Community Health Center Inc

A Medicare group practice based in Staten Island, NY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7719078856), with 28 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7719078856The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
NY
Enrollments
3
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20110504000157 NY Part B Supplier - Clinic/Group Practice 1639246358
O20070803000508 NY Part A Provider - Federally Qualified Health Center (FQHC) 1639246358
O20170105000162 NY Part A Provider - Federally Qualified Health Center (FQHC) 1750700902

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 28

Clinicians who reassign their Medicare benefits to this group (28) or whom Care Compare lists as members (9).

Sources for this page