NPIMap

Red Cliff Band of Lake Superior Chippewa Indians

A Medicare group practice based in Bayfield, WI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4284537580), with 20 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4284537580The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
WI
Enrollments
2
Group size
16 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
O20040202000406 WI Part B Supplier - Clinic/Group Practice 1497744015
O20131212000609 WI Part B Supplier - Ambulance Service Supplier 1174672844

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 20

Clinicians who reassign their Medicare benefits to this group (20) or whom Care Compare lists as members (16).

Sources for this page