Otolaryngology & Head & Neck Surgery PA

A Medicare group practice based in Woodbury, MN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1658268651), with 38 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1658268651The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Also listed as
Otolaryngology and Head and Neck Surgery PAName in Care Compare
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MN, WI
Enrollments
2
Group size
38 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 5 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20050118000086 MN Part B Supplier - Clinic/Group Practice 1821195959
O20050920000380 WI Part B Supplier - Clinic/Group Practice 1821195959

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 38

Clinicians who reassign their Medicare benefits to this group (38) or whom Care Compare lists as members (38).

Sources for this page