NPIMap

County of Tuolumne

A Medicare group practice based in Sonora, CA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 5991616856), with 2 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5991616856The 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, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
CA
Enrollments
3
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20120518000102 CA Part B Supplier - Clinic/Group Practice 1366618035
O20090509000021 CA Part B Supplier - Mass Immunization (Roster Biller Only) 1639271935
O20060323000798 CA Part B Supplier - Ambulance Service Supplier 1083613921

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 2

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

Sources for this page