NPIMap

Interventional Pain & Physical Medicine Clinic

A Medicare group practice based in Sartell, MN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3375439953), with 8 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3375439953The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Also listed as
Interventional Pain and Physical Medicine ClinicName in Care Compare
Provider type
DME Supplier - Independently-Practicing Physical Therapist, Part B Supplier - Clinic/Group Practice
Enrolled in
MN
Enrollments
2
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040223000665 MN Part B Supplier - Clinic/Group Practice 1013056969
O20140922000718 MN DME Supplier - Independently-Practicing Physical Therapist 1710230800

NPIs in this group 2

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 8

Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (2).

Sources for this page