NPIMap

White Earth Indian Health Center

A Medicare group practice based in Mahnomen, MN: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 1658367925), with 52 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1658367925The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
1
Group size
36 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 3 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040422000363 TX Part B Supplier - Clinic/Group Practice 1093761710

NPIs in this group 3

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 52

Clinicians who reassign their Medicare benefits to this group (52) or whom Care Compare lists as members (36).

Sources for this page