NPIMap

Kent County CMH Authority

A Medicare group practice based in Grand Rapids, MI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 9436314143), with 159 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9436314143The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MI, TX
Enrollments
2
Group size
63 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 4 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20120703000167 MI Part B Supplier - Clinic/Group Practice 1588935068
O20230911003511 TX Part B Supplier - Clinic/Group Practice 1588935068

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 159

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (157) or whom Care Compare lists as members (63).

Sources for this page