Commonwealth of Kentucky

A Medicare group practice based in Lexington, KY: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 9436122710), with 69 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9436122710The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
KY
Enrollments
5
Group size
12 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 6 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20110418000139 KY Part A Provider - Hospital 1790816395
O20120314000794 KY Part A Provider - Skilled Nursing Facility 1134124167
O20040816000397 KY Part B Supplier - Clinic/Group Practice 1790816395
O20120807000662 KY Part A Provider - Skilled Nursing Facility 1063784197
O20120731000168 KY Part A Provider - Skilled Nursing Facility 1396962551

NPIs in this group 9

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 69

Clinicians who reassign their Medicare benefits to this group (69) or whom Care Compare lists as members (12).

Sources for this page