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One provider matched this enrollment ID.

Enrollment ID O20220125002767 resolves to a single NPI record. Open the full profile for complete detail.

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NPI · 1770111429 · Active

Live Life Now Health Group PA

Addiction Medicine (Family Medicine) Physician · New York, New York

Active

NPI

1770111429

Enrollment ID

O20220125002767

Taxonomy

207QA0401X

Type

Part B Supplier - Clinic/Group Practice

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Medicare enrollment

This provider holds 19 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

O20200623001823Clinic/Group PracticeFL
O20210720003958Clinic/Group PracticeAZ
O20210721000654Clinic/Group PracticeTX
O20210811001164Clinic/Group PracticeVA
O20210818000624Clinic/Group PracticeGA
O20210818002546Clinic/Group PracticeCT
O20210819001162Clinic/Group PracticeCO
O20210819001604Clinic/Group PracticePA
O20210830002356Clinic/Group PracticeDC
O20211118002014Clinic/Group PracticeOR
O20211214002181Clinic/Group PracticeIA
O20211216001366Clinic/Group PracticeSC
O20211220000344Clinic/Group PracticeOH
O20211220002257Clinic/Group PracticeMD
O20220107000567Clinic/Group PracticeWA
O20220125002767Clinic/Group PracticeKY
O20220822001133Clinic/Group PracticeMS
O20221122001261Clinic/Group PracticeMI
O20230307002673Clinic/Group PracticeNC

Source: CMS PECOS public enrollment file.

ReferenceAbout Medicare Enrollment IDs

A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.