360Care Services of Kentucky LLC

A Medicare group practice based in Louisville, KY: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 9931587888), with 45 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9931587888The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
KY
Enrollments
1
Group size
17 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
1In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20220604000305 KY Part B Supplier - Clinic/Group Practice 1669113023

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 45

Clinicians who reassign their Medicare benefits to this group (45) or whom Care Compare lists as members (17).

Sources for this page