NPIMap

Sauk County

A Medicare group practice based in Reedsburg, WI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7618931148), with 18 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7618931148The 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
13 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20041115001185 WI Part B Supplier - Clinic/Group Practice 1528056819
O20100622000377 WI Part A Provider - Skilled Nursing Facility 1528056819

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 18

Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (13).

Sources for this page