NPIMap

Northern Oral & Maxillofacial Surgeons PA

A Medicare group practice based in Superior, WI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3072535863), with 7 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3072535863The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Also listed as
Northern Oral and Maxillofacial Surgeons PAName in Care Compare
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MN, WI
Enrollments
2
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
3In 3 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20051221000235 MN Part B Supplier - Clinic/Group Practice 1457401820
O20060327000243 WI Part B Supplier - Clinic/Group Practice 1013068691

NPIs in this group 3

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 (7).

Sources for this page