NPIMap

Valle Vista LLC

A Medicare group practice based in Greenwood, IN: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8224948930), with 19 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8224948930The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
Enrolled in
IN
Enrollments
3
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
10In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20030507000059 IN Part A Provider - Hospital 1699722405
O20091224000024 IN Part B Supplier - Clinic/Group Practice 1699722405
O20200207001586 IN Part B Supplier - Opioid Treatment Program (Otp) 1437651221

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 19

Clinicians who reassign their Medicare benefits to this group (19) or whom Care Compare lists as members (10).

Sources for this page