NPIMap

County of Outagamie

A Medicare group practice based in Appleton, WI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7517930019), with 23 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7517930019The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
WI
Enrollments
2
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040813000471 WI Part B Supplier - Clinic/Group Practice 1629138995
O20100527000327 WI Part A Provider - Skilled Nursing Facility 1639167430

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 23

Clinicians who reassign their Medicare benefits to this group (23) or whom Care Compare lists as members (9).

Sources for this page