NPIMap

Tanana Chiefs Conference

A Medicare group practice based in Fairbanks, AK: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9537050109), with 283 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9537050109The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
3
Group size
148 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
35In 25 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20050111000954 TX Part B Supplier - Clinic/Group Practice 1821201278
O20230410000992 TX Part B Supplier - Ambulatory Surgical Center 1871332387
O20190109002334 TX MDPP Supplier - in-Person MDPP Supplier 1821201278

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 283

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (283) or whom Care Compare lists as members (148).

Sources for this page