NPIMap

County of Polk

A Medicare group practice based in Dallas, OR: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 7315930492), with 10 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7315930492The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
OR
Enrollments
1
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 4 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040405001567 OR Part B Supplier - Clinic/Group Practice 1427081470

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 10

Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (9).

Sources for this page