NPIMap

Bear River District Health Dept

A Medicare group practice based in Logan, UT: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3274633441), with 7 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3274633441The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part B Supplier - Clinic/Group Practice, Part B Supplier - Public Health/Welfare Agency
Enrolled in
UT
Enrollments
3
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 5 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20180729000024 UT MDPP Supplier - in-Person MDPP Supplier 1659888196
O20120512000001 UT Part B Supplier - Public Health/Welfare Agency 1609094507
O20070912000436 UT Part B Supplier - Clinic/Group Practice 1205046711

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 (6).

Sources for this page