Shorehaven Behavioral Health Inc

A Medicare group practice based in Mount Pleasant, WI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 0143324954), with 25 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0143324954The 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
12 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 3 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20070404000380 WI Part B Supplier - Clinic/Group Practice 1598800740

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 25

Clinicians who reassign their Medicare benefits to this group (25) or whom Care Compare lists as members (12).

Sources for this page