NPIMap

State of Rhode Island

A Medicare group practice based in Pascoag, RI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8123929742), with 18 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8123929742The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Hospital Department(S), Part B Supplier - Independent Clinical Laboratory
Enrolled in
RI
Enrollments
3
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20080814000151 RI Part B Supplier - Independent Clinical Laboratory 1174690887
O20051012001236 RI Part A Provider - Hospital 1801889035
O20230315002231 RI Part B Supplier - Hospital Department(S) 1922197789

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 18

Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (11).

Sources for this page