Beverlycare

A Medicare group practice based in Montebello, CA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 9537416102), with 5 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9537416102The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
3
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20180727002401 CA Part B Supplier - Clinic/Group Practice 1841836301
O20200615002307 CA Part A Provider - Federally Qualified Health Center (FQHC) 1760936884
O20200519002291 CA Part A Provider - Federally Qualified Health Center (FQHC) 1114562287

NPIs in this group 4

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 5

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (4).

Sources for this page