NPIMap

Hiawatha Harris MD Inc.

A Medicare group practice based in Oakland, CA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 1052580115), with 30 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1052580115The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
1
Group size
12 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 4 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20110805000150 CA Part B Supplier - Clinic/Group Practice 1942420724

NPIs in this group 4

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 30

Clinicians who reassign their Medicare benefits to this group (30) or whom Care Compare lists as members (12).

Sources for this page