Hanover County Board of Supervisors

A Medicare group practice based in Mechanicsville, VA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8527968742), with 38 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8527968742The 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
VA
Enrollments
2
Group size
16 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
18In 8 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040112000531 VA Part B Supplier - Clinic/Group Practice 1104858653
O20041216000157 VA Part B Supplier - Ambulance Service Supplier 1245275403

NPIs in this group 2

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 38

Clinicians who reassign their Medicare benefits to this group (38) or whom Care Compare lists as members (16).

Sources for this page