NPIMap

Thedacare Regional Medical Center - Appleton, Inc

A Medicare group practice based in Appleton, WI: 11 NPIs enrolled under one PECOS associate control ID (PAC ID 2163319039), with 33 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2163319039The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
WI
Enrollments
6
Group size
14 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
20In 3 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20040304000064 WI Part B Supplier - Clinic/Group Practice 1902832306
O20101215000214 WI Part A Provider - Hospital 1902832306
O20250909001088 WI Part A Provider - Hospital 1932085552
O20220823001659 WI DME Supplier - Pharmacy 1457023772
O20211022000522 WI Part B Supplier - Pharmacy 1417627704
O20220526000499 WI DME Supplier - Pharmacy 1417627704

NPIs in this group 11

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 33

Clinicians who reassign their Medicare benefits to this group (33) or whom Care Compare lists as members (14).

Sources for this page