Fourth Corner Neurosurgical Associates Inc PS

A Medicare group practice based in Bellingham, WA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1557250248), with 8 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1557250248The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
Enrolled in
WA
Enrollments
2
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 2

Enrollment IDStateProvider typeNPI
O20040311000840 WA Part B Supplier - Clinic/Group Practice 1699846386
O20160706002786 WA Part B Supplier - Ambulatory Surgical Center 1275938102

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 8

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

Sources for this page