NPIMap

State of New Mexico

A Medicare group practice based in Las Vegas, NM: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2062412869), with 32 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2062412869The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
NM
Enrollments
3
Group size
21 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20090914000324 NM Part A Provider - Skilled Nursing Facility 1992867998
O20101102000228 NM Part B Supplier - Independent Clinical Laboratory 1407057607
O20091021000191 NM Part B Supplier - Clinic/Group Practice 1992867998

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 32

Clinicians who reassign their Medicare benefits to this group (32) or whom Care Compare lists as members (21).

Sources for this page