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A Medicare group practice based in Munising, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4284626391), with 51 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4284626391The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MI
Enrollments
2
Group size
28 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 4 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040331000115 MI Part B Supplier - Clinic/Group Practice 1487683546
O20040614000139 MI Part B Supplier - Clinic/Group Practice 1487683546

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 51

Clinicians who reassign their Medicare benefits to this group (51) or whom Care Compare lists as members (28).

Sources for this page