NPIMap

Michael W Hansen OD Inc

A Medicare group practice based in Redondo Beach, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3577768399), with 4 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3577768399The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
1
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
2In 2 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20140527001388 CA Part B Supplier - Clinic/Group Practice 1811319478

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 4

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (4).

Sources for this page