NPIMap

Robert W Moses OD Professional Corp.

A Medicare group practice based in Merrillville, IN: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 9436138617), with 15 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9436138617The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
Enrolled in
IN
Enrollments
2
Group size
12 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
13In 10 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040720000769 IN Part B Supplier - Clinic/Group Practice 1033161195
O20100930049273 IN DME Supplier - Physician - Optometrist 1699890111

NPIs in this group 3

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 15

Clinicians who reassign their Medicare benefits to this group (15) or whom Care Compare lists as members (12).

Sources for this page