Tellica Imaging - Washington LLC

A Medicare group practice based in Bremerton, WA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0648757393), with 87 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0648757393The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
WA
Enrollments
1
Group size
50 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 3 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20260123001076 WA Part B Supplier - Clinic/Group Practice 1346093150

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 87

Clinicians who reassign their Medicare benefits to this group (87) or whom Care Compare lists as members (50).

Sources for this page