County of Door-Door County Library

A Medicare group practice based in Sturgeon Bay, WI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 2062434194), with 9 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2062434194The 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, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
WI
Enrollments
3
Group size
4 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
O20060103000615 WI Part B Supplier - Clinic/Group Practice 1245265693
O20070423000260 WI Part B Supplier - Mass Immunization (Roster Biller Only) 1811039993
O20120207000640 WI Part B Supplier - Ambulance Service Supplier 1184757486

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 9

Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (4).

Sources for this page