NPIMap

County of Shasta

A Medicare group practice based in Redding, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8820081581), with 23 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8820081581The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
CA
Enrollments
2
Group size
12 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040407000772 CA Part B Supplier - Clinic/Group Practice 1881692390
O20131230000221 CA Part B Supplier - Mass Immunization (Roster Biller Only) 1588709182

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 23

Clinicians who reassign their Medicare benefits to this group (23) or whom Care Compare lists as members (12).

Sources for this page