NPIMap

Four Corners Nephrology Associates PC

A Medicare group practice based in Blanding, UT: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6204721731), with 7 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6204721731The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
AZ, CO, NM, UT
Enrollments
4
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 8 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040216000348 NM Part B Supplier - Clinic/Group Practice 1144327172
O20040902001042 CO Part B Supplier - Clinic/Group Practice 1417112178
O20040713001291 AZ Part B Supplier - Clinic/Group Practice 1144327172
O20101115001422 UT Part B Supplier - Clinic/Group Practice 1144327172

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 (4).

Sources for this page