NPIMap

Clark County

A Medicare group practice based in Neillsville, WI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3476464843), with 12 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3476464843The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
WI
Enrollments
3
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
3In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20111017000667 WI Part A Provider - Skilled Nursing Facility 1497812697
O20090304000429 WI Part B Supplier - Mass Immunization (Roster Biller Only) 1679617831
O20110405000837 WI Part B Supplier - Clinic/Group Practice 1598986564

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 12

Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (7).

Sources for this page