NPIMap

St Lawrence County

A Medicare group practice based in Canton, NY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9436249224), with 8 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9436249224The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Other, Part B Supplier - Clinic/Group Practice
Enrolled in
NY
Enrollments
3
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20071217000660 NY Part B Supplier - Clinic/Group Practice 1699898635
O20140811000116 NY Part B Supplier - Clinic/Group Practice 1861551822
O20240409001693 NY Part A Provider - Other 1699898635

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 8

Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (2).

Sources for this page