NPIMap

Boulder Plastic Surgery Prof LLC

A Medicare group practice based in Boulder, CO: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 0941197248), with 3 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0941197248The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
CO
Enrollments
1
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
1In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040302000408 CO Part B Supplier - Clinic/Group Practice 1043251432

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 3

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).

Sources for this page