NPIMap

Pueblo of Jemez

A Medicare group practice based in Jemez Pueblo, NM: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 3971584509), with 46 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3971584509The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
NM, TX
Enrollments
3
Group size
22 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20050411001246 TX Part B Supplier - Clinic/Group Practice 1417082215
O20050520000850 TX Part B Supplier - Ambulance Service Supplier 1609913961
O20100929000736 NM Part A Provider - Federally Qualified Health Center (FQHC) 1225346547

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 46

Clinicians who reassign their Medicare benefits to this group (43) or whom Care Compare lists as members (22).

Sources for this page