NPIMap

Kalispel Indian Community of the Kalispel Reservation Washington

A Medicare group practice based in Usk, WA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 1951498922), with 15 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1951498922The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
WA
Enrollments
2
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 3 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20071107000736 WA Part B Supplier - Clinic/Group Practice 1396937769
O20180807002778 WA Part B Supplier - Ambulance Service Supplier 1053800417

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 15

Clinicians who reassign their Medicare benefits to this group (15) or whom Care Compare lists as members (11).

Sources for this page