NPIMap

Waukesha County

A Medicare group practice based in Waukesha, WI: 10 NPIs enrolled under one PECOS associate control ID (PAC ID 3971405481), with 78 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3971405481The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
WI
Enrollments
3
Group size
29 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040124000130 WI Part B Supplier - Clinic/Group Practice 1740403146
O20080611000016 WI Part B Supplier - Mass Immunization (Roster Biller Only) 1346364585
O20110131000666 WI Part A Provider - Hospital 1407988892

NPIs in this group 10

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 78

Clinicians who reassign their Medicare benefits to this group (77) or whom Care Compare lists as members (29).

Sources for this page