State of Oklahoma

A Medicare group practice based in Norman, OK: 26 NPIs enrolled under one PECOS associate control ID (PAC ID 4486558962), with 175 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4486558962The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
OK
Enrollments
8
Group size
99 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
27In 19 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20031125000846 OK Part B Supplier - Clinic/Group Practice 1588755532
O20060511000442 OK Part A Provider - Hospital 1609972058
O20090123000514 OK Part A Provider - Hospital 1205873098
O20090223000542 OK Part A Provider - Hospital 1922171701
O20100104000344 OK Part A Provider - Hospital 1194816074
O20091113000281 OK Part A Provider - Hospital 1760481899
O20121108000463 OK Part B Supplier - Mass Immunization (Roster Biller Only) 1184891525
O20180906000238 OK Part A Provider - Hospital 1578580916

NPIs in this group 26

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 175

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (175) or whom Care Compare lists as members (99).

Sources for this page