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A Medicare group practice based in Grants Pass, OR: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0941202006), with 124 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0941202006The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
OR
Enrollments
1
Group size
70 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
10In 4 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20070217000062 OR Part B Supplier - Clinic/Group Practice 1558366492

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 124

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (124) or whom Care Compare lists as members (70).

Sources for this page