Midwest Medical Practitioners LLC

A Medicare group practice based in De Soto, MO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8729398425), with 10 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8729398425The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
MO
Enrollments
2
Group size
8 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20151110000108 MO Part B Supplier - Clinic/Group Practice 1255709143
O20221117000472 MO Part A Provider - Rural Health Clinic 1174260111

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 10

Clinicians who reassign their Medicare benefits to this group (10) or whom Care Compare lists as members (8).

Sources for this page