NPIMap

State of Utah

A Medicare group practice based in Provo, UT: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 6800797333), with 86 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6800797333The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
UT
Enrollments
2
Group size
29 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 4 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040117000195 UT Part B Supplier - Clinic/Group Practice 1811978620
O20050721000487 UT Part A Provider - Hospital 1811978620

NPIs in this group 5

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 86

Clinicians who reassign their Medicare benefits to this group (86) or whom Care Compare lists as members (29).

Sources for this page