Cross Trails Medical Center

A Medicare group practice based in Cape Girardeau, MO: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 8820902851), with 18 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8820902851The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
MO
Enrollments
6
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
10In 4 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20031114000205 MO Part B Supplier - Clinic/Group Practice 1356393268
O20070209000600 MO Part A Provider - Federally Qualified Health Center (FQHC) 1962565499
O20040729001015 MO Part A Provider - Federally Qualified Health Center (FQHC) 1356393268
O20140102001443 MO Part A Provider - Federally Qualified Health Center (FQHC) 1215368402
O20230725003377 MO Part A Provider - Federally Qualified Health Center (FQHC) 1033895628
O20100908000602 MO Part A Provider - Federally Qualified Health Center (FQHC) 1225191752

NPIs in this group 5

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 18

Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (9).

Sources for this page