NPIMap

Banner Health

A Medicare group practice based in Payson, AZ: 11 NPIs enrolled under one PECOS associate control ID (PAC ID 9537078365), with 39 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9537078365The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Medical Supply Company, Part A Provider - Critical Access Hospital, Part A Provider - Hospice, Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
AZ, CA, CO, NV, WY
Enrollments
12
Group size
21 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
41In 18 places

Enrollment records 12

Enrollment IDStateProvider typeNPI
O20140721001201 AZ Part B Supplier - Clinic/Group Practice 1063923340
O20140624001220 AZ Part A Provider - Hospital 1003232976
O20140604002057 CA Part B Supplier - Clinic/Group Practice 1205267549
O20180413001382 AZ Part A Provider - Critical Access Hospital 1063923340
O20150828001723 CO Part A Provider - Hospital 1659787554
O20230317002041 AZ Part A Provider - Rural Health Clinic 1073223012
O20230324001850 AZ Part A Provider - Rural Health Clinic 1245940287
O20231204003617 WY DME Supplier - Medical Supply Company 1528846912
O20230821001047 NV Part B Supplier - Clinic/Group Practice 1427740570
O20201007001279 AZ Part A Provider - Hospital 1972139004
O20190730000432 CO Part A Provider - Hospice 1407409964
O20220526000512 AZ Part A Provider - Critical Access Hospital 1861077414

NPIs in this group 11

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 39

Clinicians who reassign their Medicare benefits to this group (37) or whom Care Compare lists as members (21).

Sources for this page