Lake Loveland Dermatology PC
A Medicare group practice based in Sterling, CO: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 1456329655), with 7 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1456329655
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- CO
- Enrollments
- 1
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040923001237 | CO | Part B Supplier - Clinic/Group Practice | 1679646582 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Lake Loveland Dermatology PC
- Dermatology Physician
- Loveland, CO
- NPI 1679646582
-
Lake Loveland Dermatology PC
- Dermatology Physician
- Windsor, CO
- NPI 1073114948
-
Lake Loveland Dermatology PC
- Dermatology Physician
- Sterling, CO
- NPI 1437750304
-
Lake Loveland Dermatology PC
- Dermatology Physician
- Fort Collins, CO
- NPI 1700487675
Practice locations
- Loveland, CO1
- Windsor, CO1
- Fort Collins, CO1
- Sterling, CO1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 75 of 100
Clinicians 7
Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (5).
-
Nichole Louise Hart, C.R.N.P
- Family Nurse Practitioner
- Loveland, CO
- NPI 1295076297
-
Ingerlisa Wenche Mattoch, M.D.
- Dermatopathology (Pathology) Physician
- Loveland, CO
- NPI 1306034582
-
Kevin John Mott, MD
- MOHS-Micrographic Surgery Physician
- Loveland, CO
- NPI 1295776201
-
Kathryn L Olsen, PA
- Physician Assistant
- Loveland, CO
- NPI 1902889124
-
David Joseph Seitz IV, P.A.-C.
- Medical Physician Assistant
- Loveland, CO
- NPI 1235169194
-
Michaela Paige Sullivan, PA-C
- Physician Assistant
- Loveland, CO
- NPI 1982308193
-
Meredith S Williams, C-PA
- Medical Physician Assistant
- Loveland, CO
- NPI 1194717900
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.