Lighthouse Psychiatry PLLC

A Medicare group practice based in Tulsa, OK: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0345615142), with 3 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0345615142The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MO, OK
Enrollments
2
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20230410001169 OK Part B Supplier - Clinic/Group Practice 1154035988
O20250918002436 MO Part B Supplier - Clinic/Group Practice 1083596514

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 (2).

Sources for this page