NPIMap

Cory Johnson

A Medicare group practice based in Coeur D Alene, ID: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2062810401), with 2 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2062810401The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Podiatry, Part B Supplier - Clinic/Group Practice
Enrolled in
ID
Enrollments
2
Group size
2 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
O20211014002933 ID Part B Supplier - Clinic/Group Practice 1023780376
O20220218000952 ID DME Supplier - Physician - Podiatry 1730665837

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 2

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).

Sources for this page