Sky Lakes Medical Center Inc

A Medicare group practice based in Klamath Falls, OR: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 1052204096), with 412 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1052204096The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Pharmacy, MDPP Supplier - in-Person MDPP Supplier, Part A Provider - Home Health Agency, Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only), Part B Supplier - Pharma
Enrolled in
OR
Enrollments
7
Group size
196 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
56In 1 place

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20040204000577 OR Part B Supplier - Clinic/Group Practice 1659340370
O20050708000458 OR Part A Provider - Home Health Agency 1568417103
O20050708000403 OR Part A Provider - Hospital 1659340370
O20250117002882 OR DME Supplier - Pharmacy 1003654625
O20180814002122 OR Part B Supplier - Mass Immunization (Roster Biller Only) 1841704459
O20210706001216 OR MDPP Supplier - in-Person MDPP Supplier 1962000661
O20141210002307 OR Part B Supplier - Pharmacy 1912311986

NPIs in this group 8

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 412

Page 1 of 5

Clinicians who reassign their Medicare benefits to this group (412) or whom Care Compare lists as members (196).

Sources for this page