Pushmataha Family Medical Center, Inc

A Medicare group practice based in Boswell, OK: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9537189261), with 14 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9537189261The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
OK
Enrollments
3
Group size
11 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20081114000464 OK Part B Supplier - Clinic/Group Practice 1891882676
O20111012000715 OK Part A Provider - Federally Qualified Health Center (FQHC) 1891882676
O20160701000430 OK Part A Provider - Federally Qualified Health Center (FQHC) 1487193819

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 14

Clinicians who reassign their Medicare benefits to this group (14) or whom Care Compare lists as members (11).

Sources for this page