Privia Medical Group Washington PLLC

A Medicare group practice based in Walla Walla, WA: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 2264320837), with 89 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2264320837The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Multi-Specialty - Physician, Part A Provider - Rural Health Clinic, Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
Enrolled in
OR, WA
Enrollments
8
Group size
73 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
20In 9 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20100930036254 WA DME Supplier - Multi-Specialty - Physician 1780658419
O20110111000930 WA Part A Provider - Rural Health Clinic 1346441979
O20260608000929 WA DME Supplier - Multi-Specialty - Physician 1225911829
O20250508002314 WA Part A Provider - Rural Health Clinic 1235944414
O20250603003933 WA Part A Provider - Rural Health Clinic 1790590974
O20040305000581 OR Part B Supplier - Clinic/Group Practice 1780658419
O20040309000142 WA Part B Supplier - Ambulatory Surgical Center 1760568273
O20040309000126 WA Part B Supplier - Clinic/Group Practice 1780658419

NPIs in this group 7

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 89

Clinicians who reassign their Medicare benefits to this group (84) or whom Care Compare lists as members (73).

Sources for this page