Shoshone-Paiute Tribes

A Medicare group practice based in Owyhee, NV: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5092871889), with 36 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5092871889The 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
TX
Enrollments
2
Group size
9 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
O20100812000813 TX Part B Supplier - Clinic/Group Practice 1528230224
O20130321000131 TX Part B Supplier - Ambulance Service Supplier 1104181791

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 36

Clinicians who reassign their Medicare benefits to this group (36) or whom Care Compare lists as members (9).

Sources for this page