Kent County Health Department

A Medicare group practice based in Chestertown, MD: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9032139241), with 6 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9032139241The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
MD
Enrollments
2
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20051202000438 MD Part B Supplier - Clinic/Group Practice 1457307076
O20081016000405 MD Part B Supplier - Mass Immunization (Roster Biller Only) 1295931830

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