Tyler Holmes Memorial Hospital

A Medicare group practice based in Winona, MS: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 0345142618), with 14 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0345142618The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
MS
Enrollments
5
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 3 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20040126000826 MS Part B Supplier - Clinic/Group Practice 1285649855
O20190222000255 MS Part A Provider - Rural Health Clinic 1285649855
O20190222000070 MS Part A Provider - Rural Health Clinic 1730367459
O20081111000765 MS Part A Provider - Critical Access Hospital 1841449501
O20081111000756 MS Part A Provider - Critical Access Hospital 1205868627

NPIs in this group 8

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 14

Clinicians who reassign their Medicare benefits to this group (14) or whom Care Compare lists as members (10).

Sources for this page