NPIMap

Mattison Pathology, LLP

A Medicare group practice based in Dallas, TX: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6204721467), with 10 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6204721467The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
Enrolled in
OK, TX
Enrollments
3
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 3 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20080204000374 TX Part B Supplier - Independent Clinical Laboratory 1063619922
O20040319001206 TX Part B Supplier - Clinic/Group Practice 1063619922
O20230927000240 OK Part B Supplier - Clinic/Group Practice 1912685686

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 10

Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (3).

Sources for this page