NPIMap

Thedacare Medical Center - Shawano, Inc.

A Medicare group practice based in Shawano, WI: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 5890605836), with 197 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5890605836The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
WI
Enrollments
7
Group size
38 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 2 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20211022000413 WI Part B Supplier - Pharmacy 1306516604
O20220620000734 WI DME Supplier - Pharmacy 1306516604
O20191008002562 WI Part A Provider - Rural Health Clinic 1649821760
O20191009003249 WI Part A Provider - Rural Health Clinic 1801447925
O20031117000117 WI Part B Supplier - Clinic/Group Practice 1548260839
O20070524000076 WI Part A Provider - Critical Access Hospital 1548260839
O20070524000100 WI Part A Provider - Critical Access Hospital 1265618979

NPIs in this group 5

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 197

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (194) or whom Care Compare lists as members (38).

Sources for this page