NPIMap

Puyallup Tribal Health Authority

A Medicare group practice based in Tacoma, WA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9436047537), with 57 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9436047537The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
WA
Enrollments
1
Group size
35 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
1In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040309001482 WA Part B Supplier - Clinic/Group Practice 1063455665

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 57

Clinicians who reassign their Medicare benefits to this group (57) or whom Care Compare lists as members (35).

Sources for this page