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One provider matched this enrollment ID.

Enrollment ID O20241002000422 resolves to a single NPI record. Open the full profile for complete detail.

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CP
NPI · 1154104958 · Active
Cs Pacs 3 Southeast, LLC
Hospitalist · Bluefield, West Virginia
Active
NPI
1154104958
Enrollment ID
O20241002000422
Taxonomy
208M00000X
Type
Part B Supplier - Clinic/Group Practice

Medicare enrollment

This provider holds 9 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

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.