Iha Ooma Primary LLC

A Medicare group practice based in Clarkston, MI: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 7012316664), with 51 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7012316664The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MI
Enrollments
1
Group size
45 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 7 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20210601002563 MI Part B Supplier - Clinic/Group Practice 1245815984

NPIs in this group 7

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 51

Clinicians who reassign their Medicare benefits to this group (50) or whom Care Compare lists as members (45).

Sources for this page