NPIMap

State of Connecticut

A Medicare group practice based in Farmington, CT: 14 NPIs enrolled under one PECOS associate control ID (PAC ID 8022915677), with 839 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8022915677The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
CT
Enrollments
15
Group size
267 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
69In 22 places

Enrollment records 15

Enrollment IDStateProvider typeNPI
O20031212000803 CT Part B Supplier - Clinic/Group Practice 1467582072
O20040319000785 CT Part B Supplier - Clinic/Group Practice 1720013360
O20040319000169 CT Part B Supplier - Clinic/Group Practice 1487689022
O20040319000427 CT Part B Supplier - Clinic/Group Practice 1841225489
O20040319000365 CT Part B Supplier - Clinic/Group Practice 1427074426
O20040319000535 CT Part B Supplier - Clinic/Group Practice 1245256247
O20040319000291 CT Part B Supplier - Clinic/Group Practice 1902831548
O20041122000596 CT Part B Supplier - Clinic/Group Practice 1669466561
O20041227000221 CT Part B Supplier - Clinic/Group Practice 1881629434
O20061229000009 CT Part A Provider - Hospital 1669466561
O20100927000120 CT Part A Provider - Hospital 1245256247
O20100927000142 CT Part A Provider - Hospital 1881629434
O20090127000093 CT Part A Provider - Hospital 1750459855
O20101108000683 CT Part A Provider - Hospital 1720013360
O20191021003023 CT Part A Provider - Skilled Nursing Facility 1205951662

NPIs in this group 14

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 839

Page 1 of 9

Clinicians who reassign their Medicare benefits to this group (836) or whom Care Compare lists as members (267).

Sources for this page