NPIMap

Odyssey House Inc.

A Medicare group practice based in Salt Lake City, UT: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2365458833), with 29 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2365458833The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
UT
Enrollments
1
Group size
8 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
10In 3 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20060222000116 UT Part B Supplier - Clinic/Group Practice 1033143706

NPIs in this group 2

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 29

Clinicians who reassign their Medicare benefits to this group (29) or whom Care Compare lists as members (8).

Sources for this page