NPIMap

Citizen Potawatomi Nation

A Medicare group practice based in Shawnee, OK: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3375511488), with 57 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3375511488The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
OK, TX
Enrollments
3
Group size
35 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20140123000876 TX Part B Supplier - Clinic/Group Practice 1881981744
O20120105000559 OK Part A Provider - Federally Qualified Health Center (FQHC) 1881981744
O20101004000641 OK Part A Provider - Federally Qualified Health Center (FQHC) 1194752949

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 57

Clinicians who reassign their Medicare benefits to this group (53) or whom Care Compare lists as members (35).

Sources for this page