Florida Atlantic University

A Medicare group practice based in West Palm Beach, FL: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 8921097171), with 30 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8921097171The 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
FL
Enrollments
3
Group size
25 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040511001511 FL Part B Supplier - Clinic/Group Practice 1164591954
O20210715001845 FL Part A Provider - Federally Qualified Health Center (FQHC) 1093026619
O20240614003196 FL Part A Provider - Federally Qualified Health Center (FQHC) 1093026619

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 30

Clinicians who reassign their Medicare benefits to this group (30) or whom Care Compare lists as members (25).

Sources for this page