NPIMap

Southside Dermatology PLLC

A Medicare group practice based in Tulsa, OK: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 9234487554), with 14 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9234487554The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
OK
Enrollments
1
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 3 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20180802002933 OK Part B Supplier - Clinic/Group Practice 1750877072

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
75 of 100Reported as group, on the record of 3 clinicians in this group

Clinicians 14

Clinicians who reassign their Medicare benefits to this group (14) or whom Care Compare lists as members (11).

Sources for this page