NPIMap

Family Practice Group, P.a.

A Medicare group practice based in Pocatello, ID: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1658275391), with 17 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1658275391The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Intensive Cardiac Rehabilitation
Enrolled in
ID
Enrollments
2
Group size
14 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
O20031124000431 ID Part B Supplier - Clinic/Group Practice 1205869310
O20251126002067 ID Part B Supplier - Intensive Cardiac Rehabilitation 1912723214

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 17

Clinicians who reassign their Medicare benefits to this group (17) or whom Care Compare lists as members (14).

Sources for this page