Odyssey Healthcare Holding Company

A Medicare group practice based in Fremont, MI: 17 NPIs enrolled under one PECOS associate control ID (PAC ID 6002723004), with 5 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6002723004The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospice, Part B Supplier - Clinic/Group Practice
Enrolled in
FL, MI, NJ, WI
Enrollments
17
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
35In 25 places

Enrollment records 17

Enrollment IDStateProvider typeNPI
O20231222002032 FL Part A Provider - Hospice 1013617786
O20231202000157 WI Part A Provider - Hospice 1710687405
O20231202000223 WI Part A Provider - Hospice 1558061242
O20231202000092 WI Part A Provider - Hospice 1235839929
O20231129003045 NJ Part B Supplier - Clinic/Group Practice 1477334985
O20231201000073 WI Part A Provider - Hospice 1366143810
O20231201000173 WI Part A Provider - Hospice 1265132963
O20231130002805 WI Part A Provider - Hospice 1851092316
O20231107003484 MI Part A Provider - Hospice 1932809613
O20231108000119 MI Part A Provider - Hospice 1013617794
O20231108000632 FL Part A Provider - Hospice 1093415762
O20231108000469 MI Part A Provider - Hospice 1467152140
O20231108001160 MI Part A Provider - Hospice 1174224612
O20231108000199 MI Part A Provider - Hospice 1811697584
O20231107003664 NJ Part A Provider - Hospice 1992405674
O20231108000358 MI Part A Provider - Hospice 1306546080
O20231108000263 MI Part A Provider - Hospice 1114627890

NPIs in this group 17

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 5

Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (3).

Sources for this page