NPIMap

Oral and Maxillofacial Surgical Consultants PA

A Medicare group practice based in Wayzata, MN: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 2961489844), with 16 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2961489844The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MN
Enrollments
1
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 4 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040630000218 MN Part B Supplier - Clinic/Group Practice 1316165012

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 16

Clinicians who reassign their Medicare benefits to this group (16) or whom Care Compare lists as members (11).

Sources for this page