Midwest Mental Health Clinic PLLC

A Medicare group practice based in Fargo, ND: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6204216070), with 7 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6204216070The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MN, ND
Enrollments
2
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20220711002159 ND Part B Supplier - Clinic/Group Practice 1861877052
O20230831004639 MN Part B Supplier - Clinic/Group Practice 1861877052

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 7

Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (5).

Sources for this page