The Polyclinic PLLC

A Medicare group practice based in Seattle, WA: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 2163328196), with 966 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2163328196The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Multi-Specialty - Physician, Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
Enrolled in
WA
Enrollments
4
Group size
364 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040206000577 WA Part B Supplier - Ambulatory Surgical Center 1962506618
O20031210000788 WA Part B Supplier - Clinic/Group Practice 1174594634
O20100930039601 WA DME Supplier - Multi-Specialty - Physician 1174594634
O20231030002504 WA Part B Supplier - Ambulatory Surgical Center 1073944039

NPIs in this group 5

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 966

Page 1 of 10

Clinicians who reassign their Medicare benefits to this group (964) or whom Care Compare lists as members (364).

Sources for this page