NPIMap

Wagoner Hospital Authority

A Medicare group practice based in Wagoner, OK: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 0042217531), with 29 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0042217531The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
OK
Enrollments
4
Group size
20 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20210608002078 OK Part A Provider - Rural Health Clinic 1366674772
O20061025000585 OK Part A Provider - Hospital 1386611580
O20061214000095 OK Part B Supplier - Clinic/Group Practice 1386611580
O20240402003445 OK Part A Provider - Hospital 1386611580

NPIs in this group 3

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 29

Clinicians who reassign their Medicare benefits to this group (29) or whom Care Compare lists as members (20).

Sources for this page