NPIMap

Saratoga County

A Medicare group practice based in Ballston Spa, NY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7810983012), with 21 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7810983012The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
NY
Enrollments
2
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040422001361 NY Part B Supplier - Clinic/Group Practice 1700912367
O20091119000424 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1679691745

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 21

Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (19).

Sources for this page