NPIMap

Bois Forte Reservation Tribal Government

A Medicare group practice based in Orr, MN: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 7517879778), with 9 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7517879778The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
MN
Enrollments
3
Group size
7 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
O20031105000284 MN Part B Supplier - Clinic/Group Practice 1073530150
O20050103000428 MN Part B Supplier - Ambulance Service Supplier 1750498218
O20250122003077 MN DME Supplier - Pharmacy 1972666469

NPIs in this group 5

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 9

Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (7).

Sources for this page