St. Joseph Dermatopathology, P.a.

A Medicare group practice based in Houston, TX: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8527972017), with 3 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8527972017The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
TX
Enrollments
2
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040414000238 TX Part B Supplier - Clinic/Group Practice 1679653125
O20040601000600 TX Part B Supplier - Independent Clinical Laboratory 1770688483

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 3

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).

Sources for this page