NPIMap

Guadalupe County

A Medicare group practice based in Santa Rosa, NM: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9335118918), with 31 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9335118918The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Emergency Hospital (Reh), Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
NM
Enrollments
3
Group size
17 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20110629000074 NM Part B Supplier - Clinic/Group Practice 1346249968
O20221221001666 NM Part A Provider - Rural Emergency Hospital (Reh) 1346249968
O20250325001107 NM Part B Supplier - Ambulance Service Supplier 1063227494

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 31

Clinicians who reassign their Medicare benefits to this group (31) or whom Care Compare lists as members (17).

Sources for this page