NPIMap

Fond Du Lac County

A Medicare group practice based in Fond Du Lac, WI: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 2668376245), with 11 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2668376245The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
WI
Enrollments
4
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20031125000279 WI Part B Supplier - Clinic/Group Practice 1053458935
O20070618000352 WI Part A Provider - Skilled Nursing Facility 1659358323
O20120501000369 WI Part B Supplier - Mass Immunization (Roster Biller Only) 1285606178
O20101116000800 WI Part A Provider - Hospital 1235252024

NPIs in this group 4

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 11

Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (9).

Sources for this page