Prairie Ridge Integrated Behavioral Healthcare

A Medicare group practice based in Mason City, IA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6800169194), with 35 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6800169194The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
Enrolled in
IA
Enrollments
2
Group size
22 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 10 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20170908000404 IA Part B Supplier - Clinic/Group Practice 1952443632
O20250528000312 IA Part B Supplier - Opioid Treatment Program (Otp) 1952443632

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 35

Clinicians who reassign their Medicare benefits to this group (35) or whom Care Compare lists as members (22).

Sources for this page