NPIMap

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A Medicare group practice based in Wheat Ridge, CO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5193710671), with 7 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5193710671The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
CO
Enrollments
1
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 2 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040415000304 CO Part B Supplier - Clinic/Group Practice 1487873121

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 7

Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (6).

Sources for this page