Yamhill County

A Medicare group practice based in McMinnville, OR: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3274421169), with 25 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3274421169The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
OR
Enrollments
2
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040310001177 OR Part B Supplier - Mass Immunization (Roster Biller Only) 1205967908
O20040419001782 OR Part B Supplier - Clinic/Group Practice 1891821500

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 25

Clinicians who reassign their Medicare benefits to this group (25) or whom Care Compare lists as members (19).

Sources for this page