NPIMap

County of Yavapai

A Medicare group practice based in Prescott, AZ: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 8921919499), with 30 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8921919499The 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 - Mass Immunization (Roster Biller Only)
Enrolled in
AZ
Enrollments
5
Group size
20 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 4 places

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20040211000993 AZ Part B Supplier - Mass Immunization (Roster Biller Only) 1952501389
O20031204000266 AZ Part B Supplier - Clinic/Group Practice 1659317022
O20100730000792 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1336265982
O20100730000817 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1235256637
O20100729000207 AZ Part A Provider - Federally Qualified Health Center (FQHC) 1740306307

NPIs in this group 7

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 30

Clinicians who reassign their Medicare benefits to this group (29) or whom Care Compare lists as members (20).

Sources for this page