NPIMap

Gritman Medical Center Inc

A Medicare group practice based in Moscow, ID: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 8729070164), with 92 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8729070164The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part A Provider - Critical Access Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
ID
Enrollments
4
Group size
15 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
19In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20040908001492 ID Part A Provider - Critical Access Hospital 1619988144
O20040402001021 ID Part B Supplier - Clinic/Group Practice 1619988144
O20180404001485 ID MDPP Supplier - in-Person MDPP Supplier 1619988144
O20150227002006 ID Part A Provider - Critical Access Hospital 1386041119

NPIs in this group 4

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 92

Clinicians who reassign their Medicare benefits to this group (91) or whom Care Compare lists as members (15).

Sources for this page