Confederated Tribes of Siletz

A Medicare group practice based in Siletz, OR: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6204729288), with 14 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6204729288The 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 - Clinic/Group Practice
Enrolled in
OR
Enrollments
2
Group size
12 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
O20040204000309 OR Part B Supplier - Clinic/Group Practice 1316040249
O20250429000096 OR Part A Provider - Federally Qualified Health Center (FQHC) 1316040249

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 (14) or whom Care Compare lists as members (12).

Sources for this page