County of Richland

A Medicare group practice based in Richland Center, WI: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 2264335355), with 4 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2264335355The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Skilled Nursing Facility, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
WI
Enrollments
4
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040128000023 WI Part B Supplier - Ambulance Service Supplier 1568465490
O20040421001043 WI Part B Supplier - Mass Immunization (Roster Biller Only) 1508071960
O20041101001042 WI Part B Supplier - Clinic/Group Practice 1548482011
O20111121000287 WI Part A Provider - Skilled Nursing Facility 1144229055

NPIs in this group 4

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 4

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).

Sources for this page