NPIMap

Mille Lacs Health System

A Medicare group practice based in Onamia, MN: 14 NPIs enrolled under one PECOS associate control ID (PAC ID 4789577834), with 208 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4789577834The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part A Provider - Critical Access Hospital, Part A Provider - Home Health Agency, Part A Provider - Hospice, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
MN
Enrollments
13
Group size
47 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
21In 6 places

Enrollment records 13

Enrollment IDStateProvider typeNPI
O20040204000052 MN Part B Supplier - Clinic/Group Practice 1548212699
O20070910000977 MN Part A Provider - Critical Access Hospital 1548212699
O20061104000705 MN Part A Provider - Critical Access Hospital 1265695761
O20041012001489 MN Part A Provider - Rural Health Clinic 1326200411
O20221116002284 MN Part B Supplier - Pharmacy 1144242330
O20220707002124 MN Part B Supplier - Pharmacy 1841947801
O20221213002506 MN DME Supplier - Pharmacy 1144242330
O20221215001020 MN DME Supplier - Pharmacy 1841947801
O20100316000915 MN Part A Provider - Home Health Agency 1578726311
O20090216000293 MN Part A Provider - Critical Access Hospital 1972763001
O20090224000680 MN Part A Provider - Rural Health Clinic 1275796773
O20090114000606 MN Part A Provider - Rural Health Clinic 1497917587
O20090819000740 MN Part A Provider - Hospice 1124282272

NPIs in this group 14

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 208

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (208) or whom Care Compare lists as members (47).

Sources for this page