NPIMap

County of Waushara

A Medicare group practice based in Wautoma, WI: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 9638071681), with 9 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9638071681The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulance Service Supplier, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
WI
Enrollments
3
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
3In 1 place

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040121001042 WI Part B Supplier - Clinic/Group Practice 1932207362
O20100120000053 WI Part B Supplier - Ambulance Service Supplier 1568517688
O20120213000038 WI Part B Supplier - Mass Immunization (Roster Biller Only) 1528232832

NPIs in this group 3

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 9

Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (7).

Sources for this page