Midwestern University

A Medicare group practice based in Glendale, AZ: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 6305734773), with 168 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6305734773The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
Enrolled in
AZ, IL
Enrollments
5
Group size
116 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
10In 5 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20040308000663 AZ Part B Supplier - Clinic/Group Practice 1932206414
O20110203000856 AZ DME Supplier - Physician - Optometrist 1932206414
O20121211000510 AZ DME Supplier - Physician - Optometrist 1891017745
O20120521000662 IL Part B Supplier - Clinic/Group Practice 1538445317
O20150829000031 IL DME Supplier - Physician - Optometrist 1295126324

NPIs in this group 5

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 168

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (168) or whom Care Compare lists as members (116).

Sources for this page