Gracemed Health Clinic Inc

A Medicare group practice based in Wichita, KS: 14 NPIs enrolled under one PECOS associate control ID (PAC ID 9830098185), with 100 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9830098185The 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
KS
Enrollments
15
Group size
14 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 3 places

Enrollment records 15

Enrollment IDStateProvider typeNPI
O20181018002317 KS Part A Provider - Federally Qualified Health Center (FQHC) 1568947737
O20220420001666 KS Part A Provider - Federally Qualified Health Center (FQHC) 1043646870
O20220413000570 KS Part A Provider - Federally Qualified Health Center (FQHC) 1356777114
O20091116000432 KS Part A Provider - Federally Qualified Health Center (FQHC) 1912333774
O20101115000395 KS Part A Provider - Federally Qualified Health Center (FQHC) 1659631695
O20120113000174 KS Part A Provider - Federally Qualified Health Center (FQHC) 1275893224
O20160620000192 KS Part A Provider - Federally Qualified Health Center (FQHC) 1285083469
O20160628001022 KS Part A Provider - Federally Qualified Health Center (FQHC) 1053770818
O20160620000872 KS Part A Provider - Federally Qualified Health Center (FQHC) 1194174482
O20141008000598 KS Part A Provider - Federally Qualified Health Center (FQHC) 1992113898
O20130903000681 KS Part A Provider - Federally Qualified Health Center (FQHC) 1952651713
O20150622001872 KS Part A Provider - Federally Qualified Health Center (FQHC) 1730575069
O20151005000104 KS Part A Provider - Federally Qualified Health Center (FQHC) 1932579513
O20040504000489 KS Part A Provider - Federally Qualified Health Center (FQHC) 1184691693
O20040106000520 KS Part B Supplier - Clinic/Group Practice 1184691693

NPIs in this group 14

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 100

Clinicians who reassign their Medicare benefits to this group (100) or whom Care Compare lists as members (14).

Sources for this page