NPIMap

Utah State University

A Medicare group practice based in Logan, UT: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 3476715491), with 18 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3476715491The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
UT
Enrollments
1
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20120508000468 UT Part B Supplier - Clinic/Group Practice 1235374984

NPIs in this group 5

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 18

Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (10).

Sources for this page