NPIMap

Manoochehr Mazloomdoost PSC

A Medicare group practice based in Lexington, KY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8729983218), with 6 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8729983218The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Interventional Pain Management, Part B Supplier - Clinic/Group Practice
Enrolled in
KY
Enrollments
2
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20120308000361 KY DME Supplier - Physician - Interventional Pain Management 1770555492
O20031208000172 KY Part B Supplier - Clinic/Group Practice 1770555492

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 6

Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (5).

Sources for this page