NPIMap

La Clinica de Los Campesinos, Inc

A Medicare group practice based in Wautoma, WI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8729996574), with 26 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8729996574The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
WI
Enrollments
7
Group size
21 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 5 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20240315000308 WI Part A Provider - Federally Qualified Health Center (FQHC) 1790786929
O20230620002007 WI Part A Provider - Federally Qualified Health Center (FQHC) 1790786929
O20230710003566 WI Part B Supplier - Pharmacy 1952027609
O20250521003177 WI Part B Supplier - Pharmacy 1174322846
O20180718000361 WI Part A Provider - Federally Qualified Health Center (FQHC) 1790786929
O20030331000042 WI Part A Provider - Federally Qualified Health Center (FQHC) 1790786929
O20040806000058 WI Part B Supplier - Clinic/Group Practice 1790786929

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 26

Clinicians who reassign their Medicare benefits to this group (26) or whom Care Compare lists as members (21).

Sources for this page