NPIMap

Jefferson County

A Medicare group practice based in Jefferson, WI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 2264496801), with 26 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2264496801The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
WI
Enrollments
2
Group size
19 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
O20041115000371 WI Part B Supplier - Clinic/Group Practice 1275614919
O20090330000498 WI Part B Supplier - Mass Immunization (Roster Biller Only) 1811135494

NPIs in this group 3

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 26

Clinicians who reassign their Medicare benefits to this group (26) or whom Care Compare lists as members (19).

Sources for this page