NPIMap

City of Brookings

A Medicare group practice based in Brookings, SD: 12 NPIs enrolled under one PECOS associate control ID (PAC ID 1052307105), with 172 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1052307105The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Optician, Part A Provider - Home Health Agency, Part A Provider - Hospice, Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
SD
Enrollments
10
Group size
112 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
28In 8 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20100817001515 SD Part A Provider - Rural Health Clinic 1902123581
O20100518000290 SD Part A Provider - Skilled Nursing Facility 1417039504
O20101029001272 SD Part A Provider - Hospital 1275515579
O20101109001521 SD Part A Provider - Hospital 1962584052
O20100930024363 SD DME Supplier - Optician 1932281029
O20040423000002 SD Part B Supplier - Clinic/Group Practice 1932281029
O20120507000539 SD Part A Provider - Rural Health Clinic 1912279829
O20120402000581 SD Part A Provider - Hospice 1306928494
O20120402000671 SD Part A Provider - Home Health Agency 1861574956
O20140909001033 SD Part A Provider - Rural Health Clinic 1811318074

NPIs in this group 12

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 172

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Clinicians who reassign their Medicare benefits to this group (171) or whom Care Compare lists as members (112).

Sources for this page