DHHS IHS Phoenix Area

A Medicare group practice based in Cibecue, AZ: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2668649567), with 218 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2668649567The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
2
Group size
72 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 3 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20120117000781 TX Part B Supplier - Clinic/Group Practice 1427335140
O20140207001499 TX Part A Provider - Hospital 1427335140

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 218

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (216) or whom Care Compare lists as members (72).

Sources for this page