NPIMap

Edgewater Systems for Balanced Living Inc

A Medicare group practice based in Gary, IN: 12 NPIs enrolled under one PECOS associate control ID (PAC ID 9234398397), with 31 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9234398397The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
Enrolled in
IN
Enrollments
9
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
16In 4 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20120308000405 IN Part B Supplier - Clinic/Group Practice 1588705784
O20211213000745 IN Part A Provider - Federally Qualified Health Center (FQHC) 1164181947
O20191008002888 IN Part A Provider - Federally Qualified Health Center (FQHC) 1316154917
O20210902000571 IN Part A Provider - Federally Qualified Health Center (FQHC) 1245907344
O20200413000275 IN Part B Supplier - Opioid Treatment Program (Otp) 1932732955
O20201214000637 IN Part A Provider - Federally Qualified Health Center (FQHC) 1407457591
O20201208001698 IN Part A Provider - Federally Qualified Health Center (FQHC) 1366043457
O20201209002415 IN Part A Provider - Federally Qualified Health Center (FQHC) 1548861313
O20260310001659 IN Part A Provider - Federally Qualified Health Center (FQHC) 1093670648

NPIs in this group 12

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 31

Clinicians who reassign their Medicare benefits to this group (31) or whom Care Compare lists as members (6).

Sources for this page