NPIMap

St Mary Medical Center

A Medicare group practice based in Galesburg, IL: 11 NPIs enrolled under one PECOS associate control ID (PAC ID 8628038015), with 115 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8628038015The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Home Health Agency, Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
8
Group size
52 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
21In 7 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20041011000420 IL Part B Supplier - Clinic/Group Practice 1962467670
O20100811000072 IL Part A Provider - Hospital 1164485363
O20100112000093 IL Part A Provider - Home Health Agency 1225072176
O20221114000130 IL Part A Provider - Rural Health Clinic 1750007118
O20221114001213 IL Part A Provider - Rural Health Clinic 1801512165
O20221114001479 IL Part A Provider - Rural Health Clinic 1942927678
O20221114001974 IL Part A Provider - Rural Health Clinic 1437876190
O20221114000814 IL Part A Provider - Rural Health Clinic 1750006110

NPIs in this group 11

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 115

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (113) or whom Care Compare lists as members (52).

Sources for this page