NPIMap

County of Beaufort

A Medicare group practice based in Washington, NC: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9638077738), with 9 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9638077738The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
NC
Enrollments
3
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20050914000382 NC Part B Supplier - Clinic/Group Practice 1679576763
O20161020000812 NC Part B Supplier - Ambulance Service Supplier 1255780136
O20180712002147 NC MDPP Supplier - in-Person MDPP Supplier 1679576763

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 9

Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (3).

Sources for this page