Fort Healthcare Inc

A Medicare group practice based in Fort Atkinson, WI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 0840189718), with 316 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0840189718The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
WI
Enrollments
9
Group size
159 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
42In 7 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20040311000090 WI Part A Provider - Hospital 1811916281
O20040319001411 WI Part B Supplier - Clinic/Group Practice 1417993361
O20070718000769 WI Part B Supplier - Clinic/Group Practice 1811916281
O20180419000586 WI Part A Provider - Rural Health Clinic 1417450115
O20180419000482 WI Part A Provider - Rural Health Clinic 1417450115
O20180417000014 WI Part A Provider - Rural Health Clinic 1417450115
O20180417000021 WI Part A Provider - Rural Health Clinic 1417450115
O20180419000944 WI Part A Provider - Rural Health Clinic 1417450115
O20180419000992 WI Part A Provider - Rural Health Clinic 1417450115

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 316

Page 1 of 4

Clinicians who reassign their Medicare benefits to this group (312) or whom Care Compare lists as members (159).

Sources for this page