NPIMap

Indianhead Medical Center Shell Lake, Inc.

A Medicare group practice based in Shell Lake, WI: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 6406748839), with 15 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6406748839The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
WI
Enrollments
5
Group size
12 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 2 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20070523000149 WI Part A Provider - Critical Access Hospital 1871500769
O20170331000695 WI Part B Supplier - Clinic/Group Practice 1053859058
O20171010001807 WI Part A Provider - Rural Health Clinic 1659899078
O20210819002133 WI Part A Provider - Critical Access Hospital 1568438125
O20181025000389 WI Part A Provider - Rural Health Clinic 1518432251

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 15

Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (12).

Sources for this page