NPIMap

Menominee Indian Tribe of Wisconsin

A Medicare group practice based in Keshena, WI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2668459264), with 25 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2668459264The 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
WI
Enrollments
2
Group size
24 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
O20040701000838 WI Part B Supplier - Clinic/Group Practice 1568404721
O20120313000210 WI Part B Supplier - Ambulance Service Supplier 1508808643

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 25

Clinicians who reassign their Medicare benefits to this group (25) or whom Care Compare lists as members (24).

Sources for this page