Addiction Services and Pharmacotherapy SC

A Medicare group practice based in Madison, WI: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 2860818937), with 7 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2860818937The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
Enrolled in
WI
Enrollments
2
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 4 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20200901002559 WI Part B Supplier - Clinic/Group Practice 1265922660
O20200819003561 WI Part B Supplier - Opioid Treatment Program (Otp) 1265922660

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 7

Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (4).

Sources for this page