NPIMap

Erie County Office of Auditor

A Medicare group practice based in Sandusky, OH: 18 NPIs enrolled under one PECOS associate control ID (PAC ID 7911050711), with 12 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7911050711The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part A Provider - Federally Qualified Health Center (FQHC), Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
OH
Enrollments
11
Group size
12 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
18In 7 places

Enrollment records 11

Enrollment IDStateProvider typeNPI
O20120724000660 OH Part A Provider - Skilled Nursing Facility 1881681054
O20090728000209 OH Part B Supplier - Clinic/Group Practice 1700157492
O20110608000739 OH Part A Provider - Federally Qualified Health Center (FQHC) 1700157492
O20191122000663 OH Part A Provider - Federally Qualified Health Center (FQHC) 1205398658
O20190924002162 OH Part A Provider - Federally Qualified Health Center (FQHC) 1528520608
O20220804003580 OH Part A Provider - Federally Qualified Health Center (FQHC) 1598331951
O20210416000769 OH Part A Provider - Federally Qualified Health Center (FQHC) 1639783996
O20201117002235 OH Part A Provider - Federally Qualified Health Center (FQHC) 1760025100
O20201118001807 OH Part A Provider - Federally Qualified Health Center (FQHC) 1407480593
O20260112003414 OH DME Supplier - Pharmacy 1184436065
O20250417001907 OH Part A Provider - Federally Qualified Health Center (FQHC) 1912715897

NPIs in this group 18

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 12

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (12).

Sources for this page