NPIMap

Iha Olma Primary Non Risk LLC

A Medicare group practice based in Livonia, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1759792799), with 21 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1759792799The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MI
Enrollments
1
Group size
16 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20201124001881 MI Part B Supplier - Clinic/Group Practice 1073112819

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 21

Clinicians who reassign their Medicare benefits to this group (20) or whom Care Compare lists as members (16).

Sources for this page