NPIMap

Black Hills Dermatology PC

A Medicare group practice based in Spearfish, SD: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5799767851), with 4 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5799767851The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
SD
Enrollments
1
Group size
4 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
O20040602001407 SD Part B Supplier - Clinic/Group Practice 1497727028

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 4

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (4).

Sources for this page