NPIMap

State of South Dakota

A Medicare group practice based in Yankton, SD: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9032007679), with 14 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9032007679The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
SD
Enrollments
2
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040305001082 SD Part B Supplier - Clinic/Group Practice 1124027586
O20090312000627 SD Part A Provider - Hospital 1124027586

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 14

Clinicians who reassign their Medicare benefits to this group (14) or whom Care Compare lists as members (7).

Sources for this page