NPIMap

State of Minnesota - Minnesota Management and Budget

A Medicare group practice based in Minneapolis, MN: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 1658268677), with 7 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1658268677The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Also listed as
State of Minnesota-Minnesota Management and BudgetName in Care Compare
Provider type
Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
MN
Enrollments
6
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 4 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20040303000532 MN Part B Supplier - Clinic/Group Practice 1295025864
O20160219001224 MN Part A Provider - Skilled Nursing Facility 1568735090
O20171212002392 MN Part B Supplier - Pharmacy 1891021390
O20170915000074 MN Part A Provider - Skilled Nursing Facility 1609217900
O20150915001082 MN Part A Provider - Skilled Nursing Facility 1952742256
O20130116000362 MN Part A Provider - Skilled Nursing Facility 1295025864

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 7

Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (4).

Sources for this page