NPIMap

Indian Township Tribal Government

A Medicare group practice based in Indian TWP, ME: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6103914445), with 14 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6103914445The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
ME, TX
Enrollments
3
Group size
12 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20071120000231 ME Part B Supplier - Ambulance Service Supplier 1346363009
O20211124000165 TX Part B Supplier - Clinic/Group Practice 1205952140
O20101109000079 ME Part A Provider - Federally Qualified Health Center (FQHC) 1205952140

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 14

Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (12).

Sources for this page