NPIMap

Marshall B Ketchum University

A Medicare group practice based in Anaheim, CA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 9739075177), with 129 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9739075177The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
1
Group size
56 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 2 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040224000463 CA Part B Supplier - Clinic/Group Practice 1720101876

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 129

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (129) or whom Care Compare lists as members (56).

Sources for this page