West Yavapai Guidance Clinic Inc

A Medicare group practice based in Prescott, AZ: 15 NPIs enrolled under one PECOS associate control ID (PAC ID 3375524358), with 24 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3375524358The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
AZ, TX, VA
Enrollments
4
Group size
21 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 6 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040526000422 AZ Part B Supplier - Clinic/Group Practice 1952550071
O20090901000336 AZ Part A Provider - Hospital 1952550071
O20201117002207 VA Part B Supplier - Clinic/Group Practice 1639367105
O20201023000132 TX Part B Supplier - Clinic/Group Practice 1639367105

NPIs in this group 15

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 24

Clinicians who reassign their Medicare benefits to this group (23) or whom Care Compare lists as members (21).

Sources for this page