County of la Crosse

A Medicare group practice based in La Crosse, WI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3274513122), with 7 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3274513122The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
WI
Enrollments
3
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20070413000242 WI Part B Supplier - Clinic/Group Practice 1366508897
O20110301000052 WI Part A Provider - Skilled Nursing Facility 1366445793
O20120517000601 WI Part B Supplier - Mass Immunization (Roster Biller Only) 1538165766

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 (3).

Sources for this page