NPIMap

Centennial Medical Group East LLC

A Medicare group practice based in Roseburg, OR: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 9234397878), with 75 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9234397878The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
OR
Enrollments
5
Group size
63 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 3 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20120228000510 OR Part B Supplier - Clinic/Group Practice 1134436637
O20230419000638 OR Part A Provider - Rural Health Clinic 1164124111
O20120328000411 OR Part A Provider - Rural Health Clinic 1821366071
O20140407001744 OR Part A Provider - Rural Health Clinic 1699103598
O20170131002098 OR Part A Provider - Rural Health Clinic 1235688805

NPIs in this group 6

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 75

Clinicians who reassign their Medicare benefits to this group (75) or whom Care Compare lists as members (63).

Sources for this page