NPIMap

Professional Resource Managment of Wiregrass, LLC

A Medicare group practice based in Ozark, AL: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 5698714525), with 14 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5698714525The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
AL
Enrollments
1
Group size
10 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
O20050428001294 AL Part B Supplier - Clinic/Group Practice 1740358837

NPIs in this group 4

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 14

Clinicians who reassign their Medicare benefits to this group (14) or whom Care Compare lists as members (10).

Sources for this page