NPIMap

Wildwood Family Clinic SC

A Medicare group practice based in Madison, WI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9537137484), with 31 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9537137484The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
WI
Enrollments
1
Group size
27 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
O20040920000493 WI Part B Supplier - Clinic/Group Practice 1225115124

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 (27).

Sources for this page