NPIMap

State of Wisconsin

A Medicare group practice based in Madison, WI: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 9234181751), with 19 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9234181751The 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
WI
Enrollments
3
Group size
8 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 4 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20050214000153 WI Part B Supplier - Clinic/Group Practice 1437253648
O20100611000117 WI Part A Provider - Hospital 1437253648
O20110302000345 WI Part A Provider - Hospital 1164516506

NPIs in this group 5

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 (8).

Sources for this page