NPIMap

Greater Phoenix Collaborative Care PC

A Medicare group practice based in Phoenix, AZ: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0941503304), with 237 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0941503304The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Diagnostic Testing Facility (Idtf)
Enrolled in
AZ, CA, CO, FL, ID, IL, LA, MI, MS, NV, OH, PA, TN, VA, WA
Enrollments
18
Group size
111 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
56In 35 places

Enrollment records 18

Enrollment IDStateProvider typeNPI
O20160120000300 AZ Part B Supplier - Clinic/Group Practice 1750686614
O20260518003808 MS Part B Supplier - Clinic/Group Practice 1750686614
O20231023000026 PA Part B Supplier - Clinic/Group Practice 1750686614
O20231201002092 LA Part B Supplier - Clinic/Group Practice 1750686614
O20231201001250 OH Part B Supplier - Clinic/Group Practice 1750686614
O20231204001619 MI Part B Supplier - Clinic/Group Practice 1750686614
O20231004002283 IL Part B Supplier - Clinic/Group Practice 1750686614
O20231102002935 WA Part B Supplier - Clinic/Group Practice 1750686614
O20231110000215 FL Part B Supplier - Clinic/Group Practice 1750686614
O20240620000588 NV Part B Supplier - Clinic/Group Practice 1750686614
O20251208000358 AZ Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1790581742
O20250603000279 AZ Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1790581742
O20250529001443 AZ Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1790581742
O20240415003642 CO Part B Supplier - Clinic/Group Practice 1750686614
O20240123003736 VA Part B Supplier - Clinic/Group Practice 1750686614
O20240202001019 CA Part B Supplier - Clinic/Group Practice 1750686614
O20240514002240 TN Part B Supplier - Clinic/Group Practice 1750686614
O20240531003601 ID Part B Supplier - Clinic/Group Practice 1750686614

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 237

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (237) or whom Care Compare lists as members (111).

Sources for this page