Ho Chunk Nation

A Medicare group practice based in Baraboo, WI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5496709867), with 37 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5496709867The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part A Provider - Indian Health Services Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
WI
Enrollments
3
Group size
30 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20050309000066 WI Part B Supplier - Clinic/Group Practice 1407911795
O20141230001771 WI Part A Provider - Federally Qualified Health Center (FQHC) 1407911795
O20141230001017 WI Part A Provider - Indian Health Services Facility 1316002694

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 37

Clinicians who reassign their Medicare benefits to this group (36) or whom Care Compare lists as members (30).

Sources for this page