County of Dodge

A Medicare group practice based in Juneau, WI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2466475587), with 16 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2466475587The 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
10 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
O20060104000398 WI Part B Supplier - Clinic/Group Practice 1871508515
O20120425000814 WI Part B Supplier - Mass Immunization (Roster Biller Only) 1811102049

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 16

Clinicians who reassign their Medicare benefits to this group (16) or whom Care Compare lists as members (10).

Sources for this page