NPIMap

Marion County

A Medicare group practice based in Salem, OR: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 8123928017), with 32 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8123928017The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
Enrolled in
OR
Enrollments
2
Group size
19 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040108000964 OR Part B Supplier - Clinic/Group Practice 1528147782
O20200401001597 OR Part B Supplier - Opioid Treatment Program (Otp) 1386706919

NPIs in this group 6

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 32

Clinicians who reassign their Medicare benefits to this group (32) or whom Care Compare lists as members (19).

Sources for this page