Professional Wound Specialists PLLC

A Medicare group practice based in Albuquerque, NM: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 8921533183), with 12 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8921533183The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
ID, NM, UT, WY
Enrollments
4
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 4 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20241125001884 UT Part B Supplier - Clinic/Group Practice 1598594483
O20250520000811 ID Part B Supplier - Clinic/Group Practice 1861216228
O20250618000184 NM Part B Supplier - Clinic/Group Practice 1033933494
O20250314001997 WY Part B Supplier - Clinic/Group Practice 1245037712

NPIs in this group 4

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 12

Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (6).

Sources for this page