Wisconsin Michigan Physicians SC

A Medicare group practice based in Mequon, WI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9931092053), with 3 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9931092053The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Interventional Pain Management, Part B Supplier - Clinic/Group Practice
Enrolled in
MI, WI
Enrollments
3
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 3 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20040216000583 WI Part B Supplier - Clinic/Group Practice 1699719476
O20040203001050 MI Part B Supplier - Clinic/Group Practice 1699719476
O20161219001075 WI DME Supplier - Physician - Interventional Pain Management 1992274260

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 3

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).

Sources for this page