NPIMap

Jamestown S'Klallam Tribe

A Medicare group practice based in Sequim, WA: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 2365349495), with 49 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2365349495The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
Enrolled in
TX, WA
Enrollments
6
Group size
38 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 1 place

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20050507000057 WA Part B Supplier - Clinic/Group Practice 1134181555
O20230315002781 WA Part A Provider - Federally Qualified Health Center (FQHC) 1023195161
O20230315002073 WA Part B Supplier - Opioid Treatment Program (Otp) 1104901941
O20240610000737 WA Part A Provider - Federally Qualified Health Center (FQHC) 1932957453
O20240712002721 TX MDPP Supplier - in-Person MDPP Supplier 1528809761
O20100527000851 WA Part A Provider - Federally Qualified Health Center (FQHC) 1134181555

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 49

Clinicians who reassign their Medicare benefits to this group (45) or whom Care Compare lists as members (38).

Sources for this page