NPIMap

Columbia County

A Medicare group practice based in Hudson, NY: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8022003409), with 24 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8022003409The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
NY
Enrollments
3
Group size
16 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20160314001368 NY Part B Supplier - Ambulance Service Supplier 1972056026
O20150305001961 NY Part B Supplier - Clinic/Group Practice 1689618977
O20040415001079 NY Part B Supplier - Clinic/Group Practice 1578752192

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 24

Clinicians who reassign their Medicare benefits to this group (24) or whom Care Compare lists as members (16).

Sources for this page