NPIMap

County of Adams

A Medicare group practice based in Friendship, WI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2567493810), with 5 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2567493810The 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
4 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20050825000972 WI Part B Supplier - Mass Immunization (Roster Biller Only) 1649399148
O20050929000321 WI Part B Supplier - Clinic/Group Practice 1104930866

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 5

Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (4).

Sources for this page