NPIMap

Active Life Health of Charlotte PLLC

A Medicare group practice based in Charlotte, NC: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9436551280), with 11 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9436551280The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - General Practice, Part B Supplier - Clinic/Group Practice
Enrolled in
NC
Enrollments
2
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20210715002789 NC Part B Supplier - Clinic/Group Practice 1316512551
O20210804002313 NC DME Supplier - Physician - General Practice 1770158909

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 11

Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (4).

Sources for this page