NPIMap

Cleanslate Medical Group of Arizona PLLC

A Medicare group practice based in Phoenix, AZ: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6901183235), with 9 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6901183235The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
AZ
Enrollments
1
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20170515001155 AZ Part B Supplier - Clinic/Group Practice 1801421656

NPIs in this group 3

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 9

Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (6).

Sources for this page