NPIMap

County of Green Lake

A Medicare group practice based in Green Lake, WI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6507881265), with 6 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6507881265The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
WI
Enrollments
3
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 3 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20051011001149 WI Part B Supplier - Clinic/Group Practice 1780867408
O20240409003353 WI MDPP Supplier - in-Person MDPP Supplier 1588435382
O20110707000381 WI Part B Supplier - Mass Immunization (Roster Biller Only) 1780867408

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 6

Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (5).

Sources for this page