Wichita Nephrology Group PA

A Medicare group practice based in Wichita, KS: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3375596174), with 14 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3375596174The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
Enrolled in
KS
Enrollments
2
Group size
12 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
29In 13 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20050221000714 KS Part B Supplier - Clinic/Group Practice 1104877810
O20200220000836 KS Part B Supplier - Ambulatory Surgical Center 1396238010

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 14

Clinicians who reassign their Medicare benefits to this group (14) or whom Care Compare lists as members (12).

Sources for this page