NPIMap

Spirit Lake Tribe

A Medicare group practice based in Fort Totten, ND: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 2466550801), with 26 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2466550801The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
ND, TX
Enrollments
2
Group size
22 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
O20070607000489 ND Part B Supplier - Ambulance Service Supplier 1740387059
O20161206002392 TX Part B Supplier - Clinic/Group Practice 1114472891

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 (22).

Sources for this page