Geromedical Psychological Service PS

A Medicare group practice based in Portland, OR: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9436180684), with 2 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9436180684The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
OR, WA
Enrollments
2
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
17In 6 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20050826000611 WA Part B Supplier - Clinic/Group Practice 1659482925
O20110623000712 OR Part B Supplier - Clinic/Group Practice 1043501836

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 2

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).

Sources for this page