NPIMap

Mississippi Band of Choctaw Indians

A Medicare group practice based in Choctaw, MS: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 4385546662), with 71 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4385546662The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Indian Health Services Facility, Part A Provider - Skilled Nursing Facility, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
MS, TX
Enrollments
4
Group size
23 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 4 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040126000871 TX Part B Supplier - Clinic/Group Practice 1790865780
O20061128000192 TX Part B Supplier - Ambulance Service Supplier 1548358153
O20130506000019 MS Part A Provider - Skilled Nursing Facility 1154379469
O20100812000285 MS Part A Provider - Indian Health Services Facility 1790865780

NPIs in this group 8

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 71

Clinicians who reassign their Medicare benefits to this group (71) or whom Care Compare lists as members (23).

Sources for this page