NPIMap

The Pennsylvania State University

A Medicare group practice based in University Park, PA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8426002908), with 12 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8426002908The 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
PA
Enrollments
2
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20071130000020 PA Part B Supplier - Ambulance Service Supplier 1255457057
O20050308000633 PA Part B Supplier - Clinic/Group Practice 1386784593

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 12

Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (9).

Sources for this page