NPIMap

Fond Du Lac Reservation Business Committee

A Medicare group practice based in Cloquet, MN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6608775879), with 70 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6608775879The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MN
Enrollments
1
Group size
40 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
2In 2 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040107000308 MN Part B Supplier - Clinic/Group Practice 1326053166

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

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
78.26 of 100Reported as group, on the record of 24 clinicians in this group
Quality
80.41
Promoting interoperability
80
Improvement activities
40
Cost
53.23

Clinicians 70

Clinicians who reassign their Medicare benefits to this group (70) or whom Care Compare lists as members (40).

Sources for this page