Essentia Health Moose Lake

A Medicare group practice based in Moose Lake, MN: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 6608290333), with 282 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6608290333The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Home Health Agency, Part B Supplier - Clinic/Group Practice
Enrolled in
MN
Enrollments
4
Group size
12 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20200728000758 MN Part A Provider - Critical Access Hospital 1154959880
O20200728002311 MN Part A Provider - Home Health Agency 1437778529
O20200730001548 MN Part B Supplier - Clinic/Group Practice 1154959880
O20200729003484 MN Part A Provider - Critical Access Hospital 1932738218

NPIs in this group 4

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 282

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (282) or whom Care Compare lists as members (12).

Sources for this page