NPIMap

Deschutes County Oregon

A Medicare group practice based in Bend, OR: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 9638083371), with 118 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9638083371The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
MDPP Supplier - in-Person MDPP Supplier, Part B Supplier - Clinic/Group Practice
Enrolled in
OR
Enrollments
2
Group size
58 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
8In 3 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20031117000568 OR Part B Supplier - Clinic/Group Practice 1235172180
O20190710000564 OR MDPP Supplier - in-Person MDPP Supplier 1598323040

NPIs in this group 4

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 118

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (118) or whom Care Compare lists as members (58).

Sources for this page