Lafayette County

A Medicare group practice based in Darlington, WI: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 9436054772), with 66 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9436054772The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part A Provider - Skilled Nursing Facility, Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
WI
Enrollments
8
Group size
27 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
13In 4 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20200123001846 WI Part A Provider - Rural Health Clinic 1639733173
O20210323000014 WI Part B Supplier - Ambulance Service Supplier 1427648526
O20031201000476 WI Part B Supplier - Clinic/Group Practice 1114987054
O20060930000015 WI Part A Provider - Skilled Nursing Facility 1164408266
O20061104000561 WI Part A Provider - Critical Access Hospital 1114987054
O20170921000720 WI Part A Provider - Rural Health Clinic 1285150045
O20170921000412 WI Part A Provider - Rural Health Clinic 1093232878
O20120104000753 WI Part A Provider - Critical Access Hospital 1689787954

NPIs in this group 8

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 66

Clinicians who reassign their Medicare benefits to this group (66) or whom Care Compare lists as members (27).

Sources for this page