One provider matched this enrollment ID.
Enrollment ID O20220602000689 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 13 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
- O20031203000016Clinic/Group PracticeIL
- O20220428002152Clinic/Group PracticeNJ
- O20220524002032Clinic/Group PracticeLA
- O20220525002341Clinic/Group PracticeFL
- O20220527000321Clinic/Group PracticeMI
- O20220602000689Clinic/Group PracticePA
- O20221013000320Clinic/Group PracticeNV
- O20221205000041Clinic/Group PracticeTX
- O20240313002286Clinic/Group PracticeSC
- O20240514000093Clinic/Group PracticeOK
- O20240516003830Clinic/Group PracticeGA
- O20240516003970Clinic/Group PracticeAL
- O20241111002635Clinic/Group PracticeOH
Source: CMS PECOS public enrollment file.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 8115303· Issued by BCILLINOIS GROUP
- 91433· Issued by BCWELLMARK E MOLINE
- 91471· Issued by BCWELLMARK 7TH STREET
- CK7064IA· Issued by RR MEDICARE GROUP
- 95149· Issued by BCWELLMARK EKG GROUP
- CH3653IL· Issued by RR MEDICARE GROUP
- 92323· Issued by BCWELLMARK WEST
- 97622· Issued by BCWELLMARK MOLINE
Medicaid
- 0219253IA
Source: NPPES public registry.
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.