NPIMap

Public Health District 1

A Medicare group practice based in Sandpoint, ID: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7911923016), with 3 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7911923016The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
ID
Enrollments
2
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
12In 5 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20191106001649 ID MDPP Supplier - in-Person MDPP Supplier 1427616846
O20170208001381 ID Part B Supplier - Clinic/Group Practice 1841212933

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 3

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).

Sources for this page