Susan B Allen Memorial Hospital

A Medicare group practice based in El Dorado, KS: 11 NPIs enrolled under one PECOS associate control ID (PAC ID 7719898980), with 52 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7719898980The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Medical Supply Company, Part A Provider - Home Health Agency, Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
KS
Enrollments
5
Group size
26 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 3 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20041228000477 KS Part A Provider - Home Health Agency 1538262894
O20040324001452 KS Part B Supplier - Clinic/Group Practice 1164554820
O20030912000022 KS Part A Provider - Hospital 1700994977
O20060919000142 KS Part A Provider - Hospital 1477656981
O20100930065827 KS DME Supplier - Medical Supply Company 1710086632

NPIs in this group 11

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 52

Clinicians who reassign their Medicare benefits to this group (52) or whom Care Compare lists as members (26).

Sources for this page