NPIMap

Wasatch Behavioral Health Special Service District

A Medicare group practice based in Provo, UT: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2567367915), with 138 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2567367915The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
UT
Enrollments
2
Group size
84 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 5 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20031129000014 UT Part B Supplier - Clinic/Group Practice 1356357115
O20250110002267 UT Part B Supplier - Independent Clinical Laboratory 1669257556

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 138

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (138) or whom Care Compare lists as members (84).

Sources for this page