NPIMap

Tidemark Intervention Services

A Medicare group practice based in Baltimore, MD: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7911317441), with 14 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7911317441The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MD
Enrollments
1
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
1In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20201111002065 MD Part B Supplier - Clinic/Group Practice 1720595242

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 14

Clinicians who reassign their Medicare benefits to this group (14) or whom Care Compare lists as members (6).

Sources for this page