City of Portsmouth

A Medicare group practice based in Portsmouth, VA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9032173877), with 11 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9032173877The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
Enrolled in
VA
Enrollments
3
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20041112000176 VA Part B Supplier - Clinic/Group Practice 1093891699
O20070525000385 VA Part B Supplier - Ambulance Service Supplier 1528022571
O20200430001981 VA Part B Supplier - Opioid Treatment Program (Otp) 1093891699

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 11

Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (9).

Sources for this page