Palouse Specialty Physicians PS

A Medicare group practice based in Moscow, ID: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 0345569166), with 11 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0345569166The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
ID, WA
Enrollments
2
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20150429001221 WA Part B Supplier - Clinic/Group Practice 1760889265
O20150718000066 ID Part B Supplier - Clinic/Group Practice 1760889265

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 11

Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (11).

Sources for this page