NPIMap

County of Wayne

A Medicare group practice based in Lyons, NY: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 8921919994), with 39 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8921919994The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Skilled Nursing Facility, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
NY
Enrollments
4
Group size
21 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040301000668 NY Part B Supplier - Ambulance Service Supplier 1588631980
O20040505000103 NY Part B Supplier - Clinic/Group Practice 1003824855
O20120111000197 NY Part A Provider - Skilled Nursing Facility 1568534717
O20120918000486 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1760576763

NPIs in this group 4

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 39

Clinicians who reassign their Medicare benefits to this group (39) or whom Care Compare lists as members (21).

Sources for this page