NPIMap

Phoenix Group Home LLC

A Medicare group practice based in Portsmouth, OH: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7911407903), with 49 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7911407903The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
OH
Enrollments
2
Group size
36 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
57In 34 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20250825000722 OH Part B Supplier - Clinic/Group Practice 1083146013
O20260106003177 OH Part B Supplier - Clinic/Group Practice 1336654854

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 49

Clinicians who reassign their Medicare benefits to this group (47) or whom Care Compare lists as members (36).

Sources for this page