NPIMap

County of Otsego

A Medicare group practice based in Cooperstown, NY: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 9032195573), with 14 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9032195573The 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 - Mass Immunization (Roster Biller Only)
Enrolled in
NY
Enrollments
4
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040625000885 NY Part B Supplier - Clinic/Group Practice 1831145101
O20111101000022 NY Part B Supplier - Clinic/Group Practice 1104925031
O20101004000388 NY Part B Supplier - Mass Immunization (Roster Biller Only) 1710026273
O20220119001935 NY Part B Supplier - Ambulance Service Supplier 1801555214

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 14

Clinicians who reassign their Medicare benefits to this group (14) or whom Care Compare lists as members (9).

Sources for this page