Hutchinson Superstore Inc

A Medicare group practice based in Delano, MN: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6901835636), with 4 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6901835636The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
Enrolled in
MN
Enrollments
3
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 3 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20050811000990 MN Part B Supplier - Clinic/Group Practice 1225127756
O20200624001547 MN DME Supplier - Physician - Optometrist 1851921951
O20100930000501 MN DME Supplier - Physician - Optometrist 1225127756

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 4

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (4).

Sources for this page