NPIMap

Minnesota Head and Neck Pain Clinic PA

A Medicare group practice based in Woodbury, MN: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 2769453687), with 20 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2769453687The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Oral Surgery - Dentist, Part B Supplier - Clinic/Group Practice
Enrolled in
MN
Enrollments
5
Group size
18 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 5 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20040804000709 MN Part B Supplier - Clinic/Group Practice 1104850155
O20151203001270 MN DME Supplier - Oral Surgery - Dentist 1104850155
O20160125002636 MN DME Supplier - Oral Surgery - Dentist 1255715181
O20160125001265 MN DME Supplier - Oral Surgery - Dentist 1871975607
O20260522000021 MN DME Supplier - Oral Surgery - Dentist 1710854369

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 20

Clinicians who reassign their Medicare benefits to this group (20) or whom Care Compare lists as members (18).

Sources for this page