St Marys Hospital of Superior

A Medicare group practice based in Superior, WI: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 8628964228), with 487 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8628964228The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
MN, WI
Enrollments
6
Group size
96 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
26In 10 places

Enrollment records 6

Enrollment IDStateProvider typeNPI
O20040309000070 WI Part B Supplier - Clinic/Group Practice 1083657886
O20070524000587 WI Part A Provider - Critical Access Hospital 1972710507
O20061104000282 WI Part A Provider - Critical Access Hospital 1083657886
O20180816002902 MN Part B Supplier - Clinic/Group Practice 1588691588
O20170314000067 WI Part A Provider - Rural Health Clinic 1083161301
O20170314000159 WI Part A Provider - Rural Health Clinic 1528518883

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 487

Page 1 of 5

Clinicians who reassign their Medicare benefits to this group (484) or whom Care Compare lists as members (96).

Sources for this page