Gritman Medical Center Inc

A Medicare group practice based in Moscow, ID: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0941545784), with 40 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0941545784The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
ID
Enrollments
2
Group size
27 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20181221002296 ID Part B Supplier - Clinic/Group Practice 1538634522
O20201109002756 ID Part A Provider - Rural Health Clinic 1538634522

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 40

Clinicians who reassign their Medicare benefits to this group (39) or whom Care Compare lists as members (27).

Sources for this page