NPIMap

TBD Acquisition II LLC

A Medicare group practice based in Gulfport, MS: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 7911272257), with 50 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7911272257The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
MS
Enrollments
2
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20171012000543 MS Part A Provider - Hospital 1750891792
O20171219001761 MS Part B Supplier - Clinic/Group Practice 1750891792

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 50

Clinicians who reassign their Medicare benefits to this group (50) or whom Care Compare lists as members (5).

Sources for this page