NPIMap

Bad River Band of Lake Superior Tribe of Chippewa Indians Wis

A Medicare group practice based in Ashland, WI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 7810089414), with 31 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7810089414The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Indian Health Services Facility, Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
TX, WI
Enrollments
3
Group size
15 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20080808000523 TX Part B Supplier - Pharmacy 1780702829
O20090825000440 WI Part A Provider - Indian Health Services Facility 1699701375
O20160330000840 TX Part B Supplier - Clinic/Group Practice 1699701375

NPIs in this group 3

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 31

Clinicians who reassign their Medicare benefits to this group (31) or whom Care Compare lists as members (15).

Sources for this page