NPIMap

Clark Regional Physician Practices LLC

A Medicare group practice based in Winchester, KY: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 9739337569), with 102 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9739337569The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Podiatry, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
KY
Enrollments
5
Group size
46 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
31In 6 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20120919000575 KY Part B Supplier - Clinic/Group Practice 1780356253
O20140512001104 KY Part A Provider - Rural Health Clinic 1780356253
O20140626000212 KY Part A Provider - Rural Health Clinic 1841953783
O20151113001121 KY Part A Provider - Rural Health Clinic 1831852771
O20160706001939 KY DME Supplier - Physician - Podiatry 1114282605

NPIs in this group 8

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 102

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (102) or whom Care Compare lists as members (46).

Sources for this page