Western Washington Medical Group Inc PS

A Medicare group practice based in Everett, WA: 34 NPIs enrolled under one PECOS associate control ID (PAC ID 7517870314), with 130 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7517870314The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - General Surgery, DME Supplier - Physician - Podiatry, Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Diagnostic Testing Facility (Idtf), Part B Supplier - Sli
Enrolled in
WA
Enrollments
7
Group size
111 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
31In 11 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20100930030876 WA DME Supplier - Physician - Podiatry 1932327335
O20100930007993 WA DME Supplier - Physician - General Surgery 1376761775
O20031107000469 WA Part B Supplier - Clinic/Group Practice 1396413803
O20040310000927 WA Part B Supplier - Ambulatory Surgical Center 1023065919
O20070815000595 WA Part B Supplier - Slide Preparation Facilities 1831238443
O20171121000249 WA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1720430903
O20220426001723 WA Part B Supplier - Ambulatory Surgical Center 1013138536

NPIs in this group 34

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 130

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Clinicians who reassign their Medicare benefits to this group (130) or whom Care Compare lists as members (111).

Sources for this page