NPIMap

Oneida County

A Medicare group practice based in Rhinelander, WI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0345306403), with 6 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0345306403The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
WI
Enrollments
2
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20090226000088 WI Part B Supplier - Mass Immunization (Roster Biller Only) 1225175128
O20250121000401 WI Part B Supplier - Clinic/Group Practice 1780418392

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 6

Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (4).

Sources for this page