Lakewood Health System

A Medicare group practice based in Staples, MN: 17 NPIs enrolled under one PECOS associate control ID (PAC ID 1052229671), with 243 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1052229671The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Medical Supply Company, DME Supplier - Pharmacy, Part A Provider - Critical Access Hospital, Part A Provider - Home Health Agency, Part A Provider - Hospice, Part A Provider - Rural Health Clinic, Part A Provider - Skilled Nursing Facility,
Enrolled in
MN
Enrollments
17
Group size
107 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
20In 7 places

Enrollment records 17

Enrollment IDStateProvider typeNPI
O20130627000386 MN Part A Provider - Skilled Nursing Facility 1699766733
O20140210001202 MN DME Supplier - Medical Supply Company 1891131058
O20090819000852 MN Part A Provider - Home Health Agency 1477544542
O20090729000113 MN Part A Provider - Hospice 1922099092
O20100930040899 MN DME Supplier - Medical Supply Company 1003807173
O20231219003831 MN DME Supplier - Pharmacy 1508630112
O20231228001019 MN Part B Supplier - Pharmacy 1679347348
O20231219001166 MN DME Supplier - Pharmacy 1396519906
O20231219001032 MN DME Supplier - Pharmacy 1679347348
O20021018000015 MN Part A Provider - Rural Health Clinic 1093706160
O20021018000006 MN Part A Provider - Rural Health Clinic 1902897077
O20021018000011 MN Part A Provider - Rural Health Clinic 1841280823
O20040126000202 MN Part A Provider - Rural Health Clinic 1811988983
O20030821000013 MN Part A Provider - Rural Health Clinic 1912998089
O20031104000411 MN Part B Supplier - Clinic/Group Practice 1841280823
O20070618000309 MN Part A Provider - Critical Access Hospital 1295726362
O20070730000140 MN Part A Provider - Critical Access Hospital 1386635456

NPIs in this group 17

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 243

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Clinicians who reassign their Medicare benefits to this group (237) or whom Care Compare lists as members (107).

Sources for this page