Elam Sports Inc

A Medicare group practice based in Kapolei, HI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7618880535), with 6 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7618880535The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
HI
Enrollments
1
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
1In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20031107000065 HI Part B Supplier - Clinic/Group Practice 1316982523

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 6

Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (6).

Sources for this page