NPIMap

County of Green

A Medicare group practice based in Monroe, WI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8921057712), with 7 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8921057712The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
WI
Enrollments
3
Group size
4 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20050119000589 WI Part B Supplier - Clinic/Group Practice 1992925085
O20110329000372 WI Part A Provider - Skilled Nursing Facility 1790774107
O20120608000285 WI Part B Supplier - Mass Immunization (Roster Biller Only) 1508011479

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 7

Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (4).

Sources for this page