NPIMap

County of Washtenaw

A Medicare group practice based in Ann Arbor, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9931161585), with 19 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9931161585The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only)
Enrolled in
MI
Enrollments
2
Group size
18 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20041027000504 MI Part B Supplier - Clinic/Group Practice 1639132442
O20050412001379 MI Part B Supplier - Mass Immunization (Roster Biller Only) 1609896018

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 19

Clinicians who reassign their Medicare benefits to this group (19) or whom Care Compare lists as members (18).

Sources for this page