NPIMap

MMG LLC

A Medicare group practice based in Bullhead City, AZ: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 5991039489), with 16 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5991039489The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
AZ, ID, UT
Enrollments
3
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 3 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20190703001917 UT Part B Supplier - Clinic/Group Practice 1295392645
O20201013002125 ID Part B Supplier - Clinic/Group Practice 1407469166
O20230421000891 AZ Part B Supplier - Clinic/Group Practice 1811614225

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 16

Clinicians who reassign their Medicare benefits to this group (16) or whom Care Compare lists as members (7).

Sources for this page