NPIMap

DHHS IHS Phoenix Area

A Medicare group practice based in Supai, AZ: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7810163011), with 203 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7810163011The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
1
Group size
25 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20120109000961 TX Part B Supplier - Clinic/Group Practice 1265719934

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 203

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (203) or whom Care Compare lists as members (25).

Sources for this page