NPIMap

Lake City Family Medicine LLC

A Medicare group practice based in Lake City, SC: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0547368441), with 3 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0547368441The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Family Practice, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
SC
Enrollments
4
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 2 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20070530000463 SC Part A Provider - Rural Health Clinic 1396969002
O20070628000620 SC Part B Supplier - Clinic/Group Practice 1396969002
O20121119000364 SC Part A Provider - Rural Health Clinic 1831445998
O20100930032222 SC DME Supplier - Physician - Family Practice 1396969002

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