Liberation Programs Inc

A Medicare group practice based in Stamford, CT: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8729413604), with 24 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8729413604The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
Enrolled in
CT
Enrollments
2
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 3 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20200123000527 CT Part B Supplier - Opioid Treatment Program (Otp) 1316067481
O20211028002480 CT Part B Supplier - Clinic/Group Practice 1316067481

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 24

Clinicians who reassign their Medicare benefits to this group (24) or whom Care Compare lists as members (11).

Sources for this page