NPIMap

Calumet County

A Medicare group practice based in Chilton, WI: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 1254347586), with 8 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1254347586The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Home Health Agency, Part A Provider - Hospice, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
WI
Enrollments
4
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
20In 5 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20100310000013 WI Part A Provider - Home Health Agency 1396736831
O20120216000066 WI Part B Supplier - Mass Immunization (Roster Biller Only) 1235903899
O20111115000736 WI Part A Provider - Hospice 1235120791
O20060223000794 WI Part B Supplier - Clinic/Group Practice 1902898406

NPIs in this group 5

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 8

Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (3).

Sources for this page