NPIMap

Premier Plastic Surgery Group of Utah LLC

A Medicare group practice based in Salt Lake City, UT: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6406823392), with 4 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6406823392The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
UT
Enrollments
1
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 4 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040910000970 UT Part B Supplier - Clinic/Group Practice 1497941603

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 4

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).

Sources for this page