White Eagle Health Center

A Medicare group practice based in Ponca City, OK: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1456324193), with 22 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1456324193The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
OK
Enrollments
1
Group size
8 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040819000518 OK Part B Supplier - Clinic/Group Practice 1699875724

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 22

Clinicians who reassign their Medicare benefits to this group (22) or whom Care Compare lists as members (8).

Sources for this page