Wellspring Healthcare LLC

A Medicare group practice based in Kansas City, MO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9032509088), with 4 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9032509088The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
KS, MO
Enrollments
2
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
9In 7 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20230925000466 MO Part B Supplier - Clinic/Group Practice 1881363927
O20241213001938 KS Part B Supplier - Clinic/Group Practice 1659191054

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 4

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).

Sources for this page