NPIMap

Serenity Psychiatric Outpatient, LLC

A Medicare group practice based in McComb, MS: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 7911181805), with 9 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7911181805The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
AL, LA, MS
Enrollments
3
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 8 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20110419000203 AL Part B Supplier - Clinic/Group Practice 1083903298
O20110914000274 MS Part B Supplier - Clinic/Group Practice 1881973642
O20120601000315 LA Part B Supplier - Clinic/Group Practice 1578834198

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 9

Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (6).

Sources for this page