Dedicated Columbus Ohio LLC

A Medicare group practice based in Columbus, OH: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9032445929), with 53 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9032445929The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
OH
Enrollments
1
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20190730004345 OH Part B Supplier - Clinic/Group Practice 1538798483

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 53

Clinicians who reassign their Medicare benefits to this group (53) or whom Care Compare lists as members (9).

Sources for this page