NPIMap

County of Ottawa

A Medicare group practice based in Holland, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0042118036), with 37 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0042118036The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
MI
Enrollments
2
Group size
18 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20050108000114 MI Part B Supplier - Clinic/Group Practice 1619932381
O20090930000715 MI Part B Supplier - Mass Immunization (Roster Biller Only) 1679653422

NPIs in this group 2

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 37

Clinicians who reassign their Medicare benefits to this group (37) or whom Care Compare lists as members (18).

Sources for this page