County of Portage

A Medicare group practice based in Stevens Point, WI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7416843388), with 3 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7416843388The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
WI
Enrollments
2
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20091021000024 WI Part B Supplier - Ambulance Service Supplier 1154438885
O20040226000624 WI Part B Supplier - Clinic/Group Practice 1386720043

NPIs in this group 2

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 3

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).

Sources for this page