NPIMap

Livingston County

A Medicare group practice based in Mount Morris, NY: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 8527027093), with 12 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8527027093The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospice, Part A Provider - Skilled Nursing Facility, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
NY
Enrollments
5
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
27In 11 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20060118000717 NY Part A Provider - Skilled Nursing Facility 1376761478
O20041209000066 NY Part B Supplier - Ambulance Service Supplier 1215904925
O20041008001137 NY Part B Supplier - Clinic/Group Practice 1578656302
O20120222000588 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1790700086
O20120524000569 NY Part A Provider - Hospice 1326060724

NPIs in this group 5

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 (10).

Sources for this page