NPIMap

County of Grant

A Medicare group practice based in Lancaster, WI: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 0244212959), with 5 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0244212959The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Home Health Agency, Part A Provider - Hospice, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
WI
Enrollments
5
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 2 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20040607000011 WI Part B Supplier - Clinic/Group Practice 1588618789
O20070409000561 WI Part B Supplier - Mass Immunization (Roster Biller Only) 1134281967
O20050524001306 WI Part A Provider - Hospice 1841359536
O20050411000405 WI Part A Provider - Home Health Agency 1710047923
O20120112000446 WI Part A Provider - Skilled Nursing Facility 1013904085

NPIs in this group 6

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 5

Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (2).

Sources for this page