NPIMap

State of Nebraska Dept of Admin Services

A Medicare group practice based in Lincoln, NE: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 0648180828), with 28 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0648180828The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
NE
Enrollments
2
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 6 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040331001011 NE Part B Supplier - Clinic/Group Practice 1790706034
O20100811000062 NE Part A Provider - Hospital 1942240122

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 28

Clinicians who reassign their Medicare benefits to this group (28) or whom Care Compare lists as members (7).

Sources for this page