NPIMap

Tobias Moeller-Bertram MD Corporation

A Medicare group practice based in Victorville, CA: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 1456586064), with 77 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1456586064The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Multi-Specialty - Physician, DME Supplier - Physician - Anesthesiology, Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
10
Group size
56 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
18In 7 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20131106000853 CA DME Supplier - Physician - Anesthesiology 1922440684
O20140128000459 CA Part B Supplier - Clinic/Group Practice 1922440684
O20251031000990 CA DME Supplier - Multi-Specialty - Physician 1538056932
O20251031001741 CA DME Supplier - Multi-Specialty - Physician 1376430678
O20251030005212 CA DME Supplier - Multi-Specialty - Physician 1790663391
O20251031004060 CA DME Supplier - Multi-Specialty - Physician 1154218451
O20251031004171 CA DME Supplier - Multi-Specialty - Physician 1366339673
O20251031004212 CA DME Supplier - Multi-Specialty - Physician 1336036656
O20251031004230 CA DME Supplier - Multi-Specialty - Physician 1861389199
O20251030005187 CA DME Supplier - Multi-Specialty - Physician 1750278073

NPIs in this group 9

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 77

Clinicians who reassign their Medicare benefits to this group (75) or whom Care Compare lists as members (56).

Sources for this page