NPIMap

South Sound Neurosurgery PLLC

A Medicare group practice based in Puyallup, WA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 1254225899), with 21 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1254225899The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Neurosurgery, Part B Supplier - Clinic/Group Practice
Enrolled in
WA
Enrollments
2
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040320000586 WA Part B Supplier - Clinic/Group Practice 1417992389
O20210202001513 WA DME Supplier - Physician - Neurosurgery 1013503523

NPIs in this group 3

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 21

Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (10).

Sources for this page