NPIMap

Ich Physician Group

A Medicare group practice based in Willacoochee, GA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 9537592084), with 11 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9537592084The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
GA
Enrollments
3
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 3 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20191213002028 GA Part B Supplier - Clinic/Group Practice 1487158135
O20220316003013 GA Part A Provider - Rural Health Clinic 1649670894
O20220321000127 GA Part A Provider - Rural Health Clinic 1437785995

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 11

Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (5).

Sources for this page