Door County Memorial Hospital

A Medicare group practice based in Sturgeon Bay, WI: 9 NPIs enrolled under one PECOS associate control ID (PAC ID 5395735088), with 114 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5395735088The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
WI
Enrollments
9
Group size
85 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
23In 4 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20061104000697 WI Part A Provider - Critical Access Hospital 1093743874
O20040514000588 WI Part B Supplier - Clinic/Group Practice 1093743874
O20070530000377 WI Part A Provider - Critical Access Hospital 1497850838
O20230516001615 WI Part A Provider - Rural Health Clinic 1326748104
O20100721000612 WI Part A Provider - Rural Health Clinic 1174627483
O20111214000197 WI Part A Provider - Skilled Nursing Facility 1083718399
O20081107000157 WI Part A Provider - Rural Health Clinic 1952639833
O20081106000547 WI Part A Provider - Rural Health Clinic 1578892857
O20081107000147 WI Part A Provider - Rural Health Clinic 1508198961

NPIs in this group 9

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 114

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (110) or whom Care Compare lists as members (85).

Sources for this page