NPIMap

Taylor County

A Medicare group practice based in Medford, WI: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 4082798905), with 4 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4082798905The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
WI
Enrollments
2
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20080229000477 WI Part B Supplier - Clinic/Group Practice 1801092374
O20120202000234 WI Part B Supplier - Mass Immunization (Roster Biller Only) 1710173281

NPIs in this group 4

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 (3).

Sources for this page