NPIMap

DHHS IHS Phoenix Area

A Medicare group practice based in Elko, NV: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8921265000), with 19 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8921265000The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
1
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
1In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20120201000128 TX Part B Supplier - Clinic/Group Practice 1548546609

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 19

Clinicians who reassign their Medicare benefits to this group (19) or whom Care Compare lists as members (10).

Sources for this page