Prevea Clinic Inc

A Medicare group practice based in Green Bay, WI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0042123150), with 229 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0042123150The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
WI
Enrollments
1
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
45In 20 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20031106000034 WI Part B Supplier - Clinic/Group Practice 1306869276

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 229

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (229) or whom Care Compare lists as members (4).

Sources for this page