NPIMap

Coos County Oregon

A Medicare group practice based in Coos Bay, OR: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1759353071), with 24 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1759353071The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
OR
Enrollments
2
Group size
6 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
O20040809000185 OR Part B Supplier - Mass Immunization (Roster Biller Only) 1063576908
O20040818001343 OR Part B Supplier - Clinic/Group Practice 1811981053

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 24

Clinicians who reassign their Medicare benefits to this group (24) or whom Care Compare lists as members (6).

Sources for this page