NPIMap

Shoshone Bannock Tribes, Inc

A Medicare group practice based in Fort Hall, ID: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 5496804429), with 11 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5496804429The 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
ID, TX
Enrollments
2
Group size
2 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
O20090522000167 ID Part B Supplier - Ambulance Service Supplier 1790810661
O20190619001470 TX Part B Supplier - Clinic/Group Practice 1225414519

NPIs in this group 3

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 11

Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (2).

Sources for this page