NPIMap

Forest County Potawatomi Community

A Medicare group practice based in Crandon, WI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3375454689), with 28 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3375454689The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Podiatry, Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
WI
Enrollments
3
Group size
21 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
O20101021000752 WI DME Supplier - Physician - Podiatry 1285741306
O20030908000029 WI Part A Provider - Federally Qualified Health Center (FQHC) 1285741306
O20040228000204 WI Part B Supplier - Clinic/Group Practice 1285741306

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 28

Clinicians who reassign their Medicare benefits to this group (28) or whom Care Compare lists as members (21).

Sources for this page